NURS FPX 6004 Assessment 1 Dashboard Benchmark Evaluation 

NURS FPX 6004 Assessment 1 Dashboard Benchmark Evaluation

Benchmark Evaluation Dashboard

Mercy Hospital is considered one of the high-ranked hospitals in Minnesota state. The dashboard metrics of MCC will be compared with the national benchmarks in this task to track its performance with regards to the quality of services being provided to the patients. In the process of the analysis, the hospital will be reanalyzed. Also, we will see the challenges so as to know the cause of the unproductivity. In the last point, the strategies will be outlined that will include the ethics toward the key stakeholders that must be applied in a way to provide better health services to the patients who are safe, reliable, and cost-effective.

Assessment of Dashboard Indicators Related to Benchmark Standards

Upon the review of the MCC metrics, it is evident that, people of different races have entered the healthcare facility. The most dominantly visited hospital were by the white population at 63%, then the American Indian followed closely at an estimated visitation rate of 13%, the African American also visited around 3%, while the other races accounted for an estimated 2%. Just in the same manner as in the last quarter of 2020, there was attendance ranging from all the ages in the hospital. From the ocular exam, bunions exam, and HgbA1c test, it can be seen that there is a change in the number of HgbA1c tests and foot exam. In 2019,Q1 60-ftexam, there were 60 A1c exams conducted which was lower than 2020 Q1 exams standing at 75-ft exams and 72 A1c exams. In 2019 Q2 that exams were 50-foot and 28 A1c exams, whereas in 2020 Q2 dashboard represents 50-foot was exams conducted and 52 A1c tests. H1N1 data on the number of eye exams shows 42 in 2019 Q3 and 48 in 2020 Q3 against 60 A1c exams in 2019 Q3 and 78 in 2020 Q3 respectively. In comparison to the last quarter of 2019, for the same period in 2020, 62-foot examinations and 64 A1c examinations were done, the number had increased. Throughout 2018 and 2019 the number of eye examinations on a quarterly basis stayed virtually stable. Yet we observe a steady fall-off in tests conducted for Hgba1c and foot exams. In the case of diabetes, eye exams, foot exams, and A1c exams are of great importance. Smart diabetes management will be possible by examining these measures.
With the comparison of these national benchmarks, it can be seen that MMC cannot meet with the national benchmarks of the foot exams and A1C testing. By adhering to these national indicators detection of diabetes at an early stage is possible than helps in management of the disease and also lowering the prevalence of T2D. As it is one of the world`s most common diseases, diabetes. The statistics report that on average 1 in every 10 people is diabetic whereas 1 in every 5 people have an undiagnosed type of the condition. Approximately 1,4 million new cases of diabetes were detected in the year 2019. The CDC data also showed the highest number of new diabetes cases in adolescents belonging to the racial and ethnic minority populous, especially among Black teens (source). This gives a dangerous situation, executing these tests will help to diagnose sugar disease at early stages, as a result better health management and better self-care before these conditions result to complexities and in cases that need to be amputated or those that are deadly. His study concluded that.

Difficulties in Achieving Set Standards

Benchmarking is a phrase that indicates a uniform standard or practice as the yardstick to evaluate and also do comparison. It provides a basis to measure whether something happened as it should. Benchmarking is an instrument in healthcare which aims at efficiency boost, quality of healthcare, improvement of clinical outcomes, and patient satisfaction. It also involves in assessing the policies, standard operating procedures, and the evidence-based processes and in short identifying where the changes are needed the most. The goals of the individuals can be set so that their target are aligned to the departmental or corporate target. As a new set of systems are formed, administration must decide on the performance monitoring system and whether they are achieving the set goals (Rana et al., 2018).

Through this comparison of the national standards it can be noticed that MMC is not able to reach the national benchmarks of foot exams or a1c testing. Rich white nurses are a majority at MMC. As reported by CDC, a high portion of people with diabetes are found in blacks, Hispaanics, and Latinos. There is also USA tribal division of races. And, Indians and African-Americans are the second and the third rate. This is a source of diversity in the socioeconomic factor that is a challenge. Shakopee has the highest ratio of the white populace as seen in the statistics. On the contrary to other races such as the blacks, the Africans, and the Hispanic, they make up 43% of the population there. Diversity in the nursing staff might cause cultural, language, and ethnic barriers if it is absent (AHRQ, 2022).

Benchmark Underachievement

The evaluation and monitoring of the dashboard metrics using the quarterly Medicare Cost Compass (MCC) metrics indicates some underperforming areas when compared to the national diabetes control standards developed by AHQR. The decline proved in the performance of HgbA1c tests between 2018 and 2019 is evident. The higher non-compliance of this threshold can lead to the higher number of diabetes cases staying undiagnosed. Likewise in the early stages, diabetes is not that obvious that manifest any signs to warn that T2D is coming. However, through A1c levels check, one can be diagnosed with pre-diabetes disease (Lam & Lee, 2021). Complying with the A1c testing mandates may be an issue as most nurses on board come from different backgrounds. In contrast, in the event of nonadherence, there will be more late diagnosis of diabetes in the hospital together with the extended number of inpatient and readmission which will not only gives workload to healthcare practitioners but also financial stress to patients. It will also have an impact on the reputation of Algal MMC in Minnesota. As per the statistics published by AHRQ, diabetes, and cardiovascular and renal problems have the tendency of being common. As the the most frequent complications associated with diabetes are cardiovascular complications and renal failures (AHQR, 2020). The American Centers for Disease Control (CDC) says that nearly all seventy percent of the diabetes adults had hypertension and about forty-four percent of cases had high cholesterol. In a quarter of the cases, the patients had severe kidney disease and 12% had irreversible eye damage or loss of vision. Availability of healthcare service delivered by ACA aimed to close the gap of health disparities and health inequity by providing healthcare access to people who are of different races and ethnicity as well as gender and such healthcare services will be conditioned to the prerequisites of getting Medicaid or Medicare.
For the A1c test frequency increase in MCC, the collaboration with the stakeholders works too. Good communication and the awareness about the problem will assist in social economic issues solving. Interprofessional collaboration in healthcare facility helps in the management of glycemic control. The research will also help in finding the causes of inefficiency in the performance of the healthcare facility which can be solved by interprofessional teamwork. Besides, the local and federal administration’s policies will impact the rate of moving closer to the set milestones and the financial constraint or lack of resources. All the interventions can happen at all levels of governance either through collaboration with creating of policy or procedures to be followed for compliance. All those will as well include the division of roles and responsibilities for the implementation to happen.

It is the cooperation of stakeholders that makes it necessary to follow certain policies where the hiring of nurses from minority groups, implementation of the local and national policies as well as inter-professional collaboration are concerned. Such a practice may end up in overcoming underperformance, and early detection of pre-diabetes, which otherwise leads to diabetic complications for patients. Early detection will aid in the management of diabetes properly, with the need for nurses to also educate the patients about diabetes to increase their knowledge of its significance. This can be achieved by contributing to decreasing the costs of healthcare for the patient, and reducing the number of cases of diabetes in Minnesota.

Responsible Behavior Aimed at Stakeholder Interests

The stakeholders have a pivotal role in helping MCC to overcome its performance woes. To this end, it is vital to have an efficient communication among stakeholders. That is what will assist in finding and getting over the current blocks in the community. Another thing is that interdisciplinary or interprofessional collaboration are also needed because according this case study there is a low diversity of nurses on board. It can build-up communication barriers between the doctor and the patient. The communication between the doctor and the patient is key to the diagnosis of the patient and the treatment process. This tactic can be successfully applied if the management of the healthcare facility adopts policies which adopt communication as a culture of the facility and within the providers and the patients. Good nurses’ managers and leaders can be role models in effective communication and are more likely to engage in it themselves in the health care institution (Arruda-Colli et al., 2018). Therefore, by conducting patient surveys too, we get an idea of the successes of strategies we have implemented for effective communication. Surveys conducted among patients help in the explication of the reasons for complains, inquiries or concerns (Ward, 2018). And they can highlight the positive aspects of the team playing. Goals, mood in the team, high level of skills, and a myriad of other details are paid special attention to. Substantiating the above approaches, patients will receive quality care, they are prepared in advance, the tests are performed on time, A1c compliance is also ensured, and patients can be aware of their case. It is ethical in that it upholds the principles of dignity and respect.

Conclusion NURS FPX 6004 Assessment 1 Dashboard Benchmark Evaluation 

Mercy Medical Centre is a hospital that every one knows. Upon examining the metrics the dashboard reveals a decrease in foot examinations and HgbA1c tests. This tests are one of the key factors for the diabetes diagnoses which are described in nationally set benchmarks for diabetes care according to AHQR. In order to surmount these problems these issues can be achieved by the involvement of the stakeholders which will make it possible for the hospitals to address the economic-social problems that may make them underperform. It will bring early stage diagnosis of diabetes and timely management avoiding complications so useful.



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