REGULATORY COMPLIANCE AND DELIVERY ON HEALTHCARE IN NURSING PRACTICE

February 17, 2022February 17, 2022 David Tegi

REGULATORY COMPLIANCE AND DELIVERY ON HEALTHCARE IN NURSING PRACTICE

Federal/State Regulation #1

[describe in your own words]

How the program ensures compliance:

Federal/State Regulation #2

[describe in your own words]

How the program ensures compliance:

Federal/State Regulation #3

[describe in your own words]

How the program ensures compliance:

QUALITY OUTCOMES FROM PROGRAM IMPLEMENTATION

Quality Outcome #1

How this outcome demonstrates safe/quality care:

Quality Outcome #2

How this outcome demonstrates safe/quality care:

Instructions:

For this assignment will create a “Fast Facts” sheet with above template :

The “Fast Facts” sheet that identifies three (3) regulations (may be Federal or State regulations) that impact or influence the delivery of care proposed in your chosen scenario. You must explain the statute or regulation in your own words, then you must provide a description of how your chosen program ensures compliance with each statute or regulation.
The Fast Facts must also present a minimum of two (2) ) expected outcomes from the implementation of chosen program and explain how these outcomes will demonstrate safe, quality care for DRHA patients and families while also meeting regulatory requirements.

**The outcomes that you identify must all be quality outcomes! No financial outcomes will be accepted for this assignment. Examples of quality outcomes include lowering HbA1c levels; improving patient satisfaction scores; improving patient comfort with instructions around medication administration; decreasing readmission to the hospital related to improved self-care practices.

Fast Facts must be 1-2 pages. A minimum of three (3) scholarly references must be included. The references can be added to the end of the Fast Facts. Please see the attached document for DRHA Scenario

Desert Regional Healthcare Alliance (DRHA) has a high percentage of adult patients, over the age of 60 years, with coronary artery disease (CAD) resulting from poorly managed Type 2 diabetes mellitus (T2DM). Many of these patients have experienced some degree of heart failure, either pre or post heart surgery. The hospital readmission rate, within 30 days of discharge, for these patients is currently 18%. This is considered high as most hospitals that DRHA benchmarks against have a readmission rate for these patients that is closer to 10%. This readmission rate is also problematic for DRHA as Medicare no longer reimburses organizations for care provided to patients readmitted in 30 days of discharge with a diagnosis of congestive heart failure (CHF) and/or pneumonia.
Patient satisfaction scores in this group of patients is low, particularly in the areas of “feeling prepared to care for themselves after discharge” and “understanding the medications they are taking.” Currently the patient satisfaction scores in these two areas are hovering in the 50th percentile rank on Press Ganey.
Quality data for the DRHA hospitalized heart failure patients has demonstrated a major increase in falls with injury over the past 3 quarters. The current falls with injury rate is 3.0 falls with injury per 1,000 patient days. National Database for Nurse Quality Indicators benchmarking for similar hospitals with heart failure patients is currently 1.8 falls with injury per 1,000 patient days.
DRHA has determined that it is imperative to establish a Nurse Practitioner (NP) led outpatient clinic to manage the care of these heart failure patients once they are discharged from the hospital. The hospital do3es not have an existing NP clinic for any disease entity so this would be a new care model. It is expected that in addition to a full time NP (1.0 full time equivalents –
NURS 640
FTE) the clinic would need to employ 2 full time RNs (1.0 full time equivalents – FTE) as well as administrative support. Additional staff may include a part time nutritional support professional, a part time social worker and a pharmacist consultant.
As you plan for this new program consider: