NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations

Quality, Safety, and Cost Considerations

Diabetes type 2 is a chronic condition that affects millions of people worldwide and poses significant challenges to healthcare systems, individuals, and families. Effective management of diabetes requires a comprehensive approach (NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations) that considers the unique needs and preferences of each patient and addresses the complex interplay between medical, behavioral, and social factors. To achieve this, nurses play a critical role in providing high-quality care that promotes patient safety, enhances health outcomes, and reduces the cost burden associated with managing diabetes (Kong et al., 2022).

In this assessment, I will assess the impact of diabetes type 2 on the quality of care, patient safety, and costs to the system and individual, and propose strategies supported by examples to improve the management of this condition. Additionally, I will examine how state board nursing practice standards and organizational or governmental policies, such as the ANA, NPA, and CDC, can affect the management of diabetes and its impact on healthcare outcomes.

Related Assessment:
NURS FPX 4900 Assessment 1 Leadership, Collaboration, Communication, Change Management, and Policy Considerations

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

Diabetes is a long-term medical condition that requires individuals to make lifestyle modifications and take medication to manage it effectively. Out of the 38 million Americans with diabetes, approximately one in ten individuals is affected. Alarmingly, half of those with the condition are not aware of their diagnosis (Sathish et al., 2023). We will take into consideration the case study of a fifty-nine-year-old male patient, Mr. Andrew, who is suffering from type 2 diabetes. Mr. Andrew’s diabetes condition can have a significant impact on the quality of care, patient safety, and costs to both the healthcare system and the individual.

Quality of Care

Diabetes type 2 is a chronic condition that requires continuous management and monitoring to prevent complications. These complications include cardiovascular disease, neuropathy, and retinopathy (Ortiz-Martínez et al., 2022). Therefore, the quality of care provided to Mr. Andrew must be comprehensive and patient-centered, including regular check-ups, medication management, blood glucose monitoring, and lifestyle modifications. Failure to provide appropriate care can result in a decline in his health and an increase in complications, leading to reduced quality of life.

Patient Safety

Diabetes type 2 can also impact patient safety. For instance, if Mr. Andrew’s blood glucose levels are not appropriately controlled, he may experience hypoglycemia or hyperglycemia, both of which can result in serious health complications. In addition, diabetes can increase the risk of infections, such as foot ulcers, which can lead to hospitalization and further complications (Ortiz-Martínez et al., 2022).

Costs to the System and Individual

The management of type 2 diabetes can be costly to both the healthcare system and the individual. For the healthcare system, the cost of treating complications associated with diabetes, such as cardiovascular disease and renal failure, can be significant. Additionally, diabetes-related hospitalizations and emergency room visits can further strain healthcare resources. For the individual, the cost of medications, blood glucose monitoring equipment, and healthcare visits can be significant, especially if they are uninsured or underinsured.

Government policies’ Impact on the quality of Care and Patient safety

State board nursing practice standards, as well as organizational or governmental policies such as the American Nurses Association (ANA), the Nurse Practice Act (NPA), and the Centers for Disease Control and Prevention (CDC), play an essential role in shaping the management and care of patients with diabetes type 2, like Mr. Andrew. 

Quality of Care

The ANA has developed policies and standards that guide nursing practice, including the management of type 2 diabetes (Jin et al., 2022). These policies emphasize the importance of patient-centered care and promote patient education, self-management, and interdisciplinary collaboration to manage diabetes effectively. Adherence to these standards can improve the quality of care provided to Mr. Andrew and ensure that his individual needs and preferences are considered in the management of his condition.

The CDC is a federal agency responsible for promoting public health and preventing disease outbreaks. The CDC has developed guidelines and resources for the management of diabetes, including prevention strategies, screening recommendations, and evidence-based treatment protocols. Healthcare organizations and professionals can use these guidelines to improve the quality of care provided to patients with diabetes, including Mr. Andrew, by adopting evidence-based practices and implementing patient-centered care models.

Patient Safety

The NPA is a set of regulations and guidelines that govern nursing practice in each state (Nethers & Milstead, 2022). These guidelines set the scope of practice for nurses and outline the legal responsibilities and obligations of nursing professionals. Nurses must follow the NPA guidelines in managing patients with type 2 diabetes, including proper medication management, blood glucose monitoring, and patient education. Adherence to these guidelines can improve patient safety and reduce the risk of complications associated with diabetes.

Cost to the System and Individual

Acts and policies like Medicare and Medicaid can impact Mr. Andrew’s diabetes problem by providing subsidies for patients’ treatment. For instance, some government policies and programs offer subsidies to help individuals with diabetes afford their medications, supplies, and healthcare services. These subsidies can reduce the costs associated with managing diabetes, which can be significant for both individuals and the healthcare system.

Moreover, state board nursing practice standards and policies like the American Nurses Association (ANA) and the Centers for Disease Control and Prevention (CDC) promote evidence-based care for individuals with diabetes. This can lead to more effective management of the disease, which can result in fewer hospitalizations, reduced need for costly interventions, and improved health outcomes. By promoting best practices in diabetes management, nursing practice standards and policies can ultimately help reduce the costs associated with diabetes care for both the individual and the healthcare system.

Policy’s Effect on Nursing Scope of Practice

Policies play a critical role in shaping the nursing profession and the scope of practice of nurses. Policies define the legal and regulatory framework within which nurses practice, outlining their roles and responsibilities and setting the standards of care that must be met. Policy influences nursing practice by shaping the education and training of nurses, determining the resources available to support practice, and influencing the allocation of healthcare resources.

Additionally, policies influence the autonomy of nurses, including their ability to make clinical decisions, collaborate with other healthcare professionals, and advocate for patients. Policies can either expand or limit the scope of nursing practice, and it is essential that nursing professionals are aware of current policies and are actively involved in policy development and implementation to ensure that nursing practice is aligned with the best interests of patients and the healthcare system as a whole (Ní Shé et al., 2020).

Strategies to Improve the Quality of care, Enhance Patient Safety, and Reduce Cost

To improve the quality of care, enhance patient safety, and reduce costs associated with managing type 2 diabetes, several strategies can be implemented. These strategies can be guided by policies and standards developed by professional organizations, regulatory bodies, and government agencies, such as the American Diabetes Association (ADA), the National Diabetes Education Program (NDEP), and the Centers for Disease Control and Prevention (CDC) (American Diabetes Association, 2020).

One effective strategy is to provide patient education on self-management, medication adherence, and lifestyle modifications. This can be achieved through group classes, one-on-one sessions, or online resources. Patients who are knowledgeable about their condition and are empowered to manage their health are more likely to experience positive outcomes and reduce the risk of complications associated with diabetes. The NDEP provides evidence-based guidelines and resources to support patient education and self-management.

Another strategy is to implement care coordination and interdisciplinary collaboration. Healthcare professionals, including nurses, physicians, dieticians, and social workers, can work together to provide comprehensive care that addresses the unique needs and preferences of each patient. Collaborative care can reduce hospital readmissions, improve patient outcomes, and reduce the cost burden associated with managing diabetes. The CDC recommends implementing care coordination models to improve the quality of care provided to patients with diabetes.

Finally, leveraging technology, such as electronic health records (EHRs), telemedicine, and mobile apps, can improve the efficiency of care delivery and enhance patient engagement (Downes et al., 2019). EHRs can streamline communication between healthcare professionals, reduce medication errors, and improve patient safety. Telemedicine and mobile apps can enable remote monitoring of patients and provide real-time data that can inform treatment decisions. The ADA recommends using technology to support diabetes management and improve patient outcomes.

Effectiveness of the Strategies

To evaluate the effectiveness of these strategies, benchmark data can be used to track progress and identify areas for improvement. Healthcare organizations can use benchmark data, such as readmission rates, patient satisfaction, and quality measures, to assess the effectiveness of interventions and make data-driven decisions to improve the quality of care provided to patients with diabetes. Additionally, national databases, such as the National Diabetes Statistics Report and the National Health and Nutrition Examination Survey, provide benchmark data on diabetes prevalence, incidence, and management (Huang et al., 2022).

The strategies proposed to improve the quality of care, enhance patient safety, and reduce costs associated with managing type 2 diabetes are highly effective for patients such as Mr. Andrew. Patient education on self-management, medication adherence, and lifestyle modifications would equip Mr. Andrew with the necessary knowledge and skills to manage his diabetes effectively. This can help him avoid complications associated with the disease, reduce the risk of hospital readmissions, and ultimately lower healthcare costs.

Implementing care coordination and interdisciplinary collaboration along with leveraging technology can result in effective diabetes type 2 management for patients like Mr. Andrew. Care coordination ensures that Mr. Andrew receives comprehensive care addressing his various needs. It can lead to improved patient outcomes, reduced hospital readmissions, and a lower burden of managing diabetes for both Mr. Andrew and the healthcare system. Utilizing technology such as EHRs, telemedicine, and mobile apps can improve the efficiency of care delivery, enhance patient engagement, enable remote monitoring of health status, and real-time communication with healthcare providers. These strategies have been proven effective in improving patient outcomes and reducing healthcare costs associated with diabetes type 2 management.

Conclusion – NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations

Managing type 2 diabetes requires a multifaceted approach that addresses the complex needs and challenges associated with this chronic condition. Policies and standards developed by professional organizations, regulatory bodies, and government agencies provide guidance on how to improve the quality of care, enhance patient safety, and reduce costs associated with managing diabetes.

Strategies, such as patient education, care coordination and interdisciplinary collaboration, and leveraging technology, can be implemented to achieve these goals. Benchmark data can be used to evaluate the effectiveness of these strategies and inform data-driven decisions to improve the quality of care provided to patients with diabetes. Ultimately, by adopting a patient-centered and evidence-based approach to diabetes management, healthcare professionals can improve patient outcomes and reduce the burden of diabetes on individuals and the healthcare system.

References

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: American Diabetes Association. (2020). 1. Improving care and promoting health in populations: Standards of medical care in diabetes—2021. Diabetes Care, 44(Supplement 1), S7–S14. https://doi.org/10.2337/dc21-s001 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Downes, E., Horigan, A., & Teixeira, P. (2019). The transformation of health care for patients. Journal of the American Association of Nurse Practitioners, 31(3), 156–161. https://doi.org/10.1097/jxx.0000000000000109 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Huang, T.-Y., Rodriguez-Watson, C., Wang, T., Calhoun, S. R., Marshall, J., Burk, J., Nam, Y. H., Mendelsohn, A. B., Jamal-Allial, A., Greenlee, R. T., Selvan, M., Pawloski, P. A., Walraven, C. N. M., Rai, A., Toh, S., & Brown, J. S. (2022). Using the IMEDS distributed database for epidemiological studies in type 2 diabetes mellitus. BMJ Open Diabetes Research and Care, 10(6), e002916. https://doi.org/10.1136/bmjdrc-2022-002916 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Jin, S., Bajaj, H. S., Brazeau, A.-S., Champagne, J., MacDonald, B., MacKay, D., Reichert, S. M., Vallis, M., Bajaj, H. S., Gilbert, J., Houlden, R., Kim, J., MacDonald, B., MacKay, D., Mansell, K., Rabi, D., Senior, P., & Sherifali, D. (2022). Remission of type 2 diabetes: User’s guide. Canadian Journal of Diabetes, 46(8), 762–774. https://doi.org/10.1016/j.jcjd.2022.10.005 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Kong, H.-J., An, S., Lee, S., Cho, S., Hong, J., Kim, S., & Lee, S. (2022). Usage of the internet of things in medical institutions and its implications. Healthcare Informatics Research, 28(4), 287–296. https://doi.org/10.4258/hir.2022.28.4.287 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Nethers, S. B., & Milstead, J. A. (2022). Future perspectives on nursing policy, technology, education, and practice. Nursing Clinics of North America, 57(4), 627–638. https://doi.org/10.1016/j.cnur.2022.06.010 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Ní Shé, É., O’Donnell, D., Donnelly, S., Davies, C., Fattori, F., & Kroll, T. (2020). “What bothers me most is the disparity between the choices that people have or don’t have”: A qualitative study on the health systems responsiveness to implementing the assisted decision-making (capacity) act in Ireland. International Journal of Environmental Research and Public Health, 17(9), 3294. https://doi.org/10.3390/ijerph17093294

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Ortiz-Martínez, M., González-González, M., Martagón, A. J., Hlavinka, V., Willson, R. C., & Rito-Palomares, M. (2022). Recent developments in biomarkers for diagnosis and screening of type 2 diabetes mellitus. Current Diabetes Reports, 22(3), 95–115. https://doi.org/10.1007/s11892-022-01453-4 

NURS FPX 4900 Assessment 2 Quality, Safety, and Cost Considerations: Sathish, T., Thankappan, K. R., Panniyammakal, J., & Oldenburg, B. (2023). Knowledge of diabetes among adults at high risk for type 2 diabetes in the Trivandrum district of Kerala, India. Diabetology, 4(1), 76–85. https://doi.org/10.3390/diabetology4010009

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