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WGU NURS 2650 D223 Healthcare Policy and Economics - UKM1 – Performance Assessment 1

A.         Healthcare corporation preference

A1. determined by the Healthcare agency.

The healthcare organization chosen for the evaluation is Saint Mary’s Regional Health Center which is deemed to be in the classification of an American Hospital Directory as found in Russellville, Arkansas (AHD, 2024).

A2. Significance of the Chosen Healthcare Organization

The Saint Mary’s Horeb Medical Clinic is of personal interest because it is located very close to my town’s primary health center (may be substituted with health clinic). I have worked in this health facility as a nurse and continue to receive hospital treatment in this facility. In addition, I also had surgery done at this hospital recently which establishes greater affiliation to this institution.

A3. Type of Facility

The Saint Mary’s nearby Medical Center is classified as a short term acute care hospital and is also designated as a level III trauma center (AHD, 2024). the electricity gives numerous scientific offerings, which incorporates

  • Acute Care
  • Surgical services
  • girls’ health offerings
  • Interventional cardiology
  • Rehabilitation offerings
  • Oncology and radiation treatments for most cancers middle(AHD, 2024).

A3a. Type of Control

The Saint Mary’s Regional Medical Center has Eastern control in the form of a private for profit establishment owned by Life Point Health, C. Such corporations operate as business entities of health care services (AHD, 2024).

A4. Hospital’s Overall Star Rating

In keeping with the facilities for Medicare and Medicaid Services (CMS), Care, look at the web page; Saint Mary’s, close by Scientific Middle, has an outstanding 2-famous individual score. The CMS celebrity rating is primarily based mostly on five key regular standard performance lessons.

  • Mortality
  • protection of Care
  • Readmission rates
  • affected person experience
  • nicely timed and powerful Care(CMS, 2024).

A4a. Additional Source of Clinical Quality Data

Saint Mary’s nearby scientific middle is permitted via The Joint Charge, an independent organization that organizes immoderate necessities in affected character care and scientific effects (The Joint Fee, 2024). This accreditation indicates the hospital’s dedication to meeting great and protection necessities in healthcare shipping.

A5. Ethical Considerations in Hospital Operations

An instance of ethical desire-making occured while I strolled around the facility as a nurse. There was a tragic incident where a person set fire to his family resulting in multiple deaths. The shooter had been shot by a bystander and was eventually brought to our emergency department.

Despite the criminal nature of his actions, the life sustaining medical care the hospital staff provided helped to stabilize him, and he was as quickly as possible transferred to surgery and Intensive Care. This case reinforced the notion that all patients, regardless of personal activities, are eligible to receive medical care at a hospital.

A6. The Nurse’s Role in Value-Based Care (VBC)

Nurses have a vital part in value based, or totasinceree (VBC), which focuses on the quality of services rendered instead of a capitation fee paid to a hospital. The expenditure of the nursing interventions, other than these which are brought about by the passage of time, remarkably influences individual health outcomes and the financial performance of the hospital.

Healthcare providers have reported significant improvements on Catheter associated Urinary Tract Infections (CAUTIs) and Central Line associated Blood Stream Infections (CLABSIs). Facilities with higher infection rates face adverse economic consequences under VBC payment plans (Cleveland et al, 2019).

Nurses play a key role in

  • Implementing evidence-based infection management practices to save you CAUTIs and CLABSIs.
  • Undertaking complete affected character assessments to discover early symptoms of complications.
  • Teaching sufferers on infection prevention and self-care measures to assist recovery (Cleveland et al., 2019).
  • Adhering to excellent practices in contamination prevention helps nurses decrease healthcare prices, enhance affected men’s or women’s safety, and enhance standard medical institution performance.

A7. Organizational Change to Improve VBC Delivery

Sanatorium readmissions present a tremendous mission nationwide. According to the CMS Care Observe website, Saint Mary’s nearby scientific center has a 14.7% readmission rate, with chronic Obstructive Pulmonary disorder (COPD) patients being the most frequently readmitted (CMS, 2024).

An outpatient COPD control software program should be added to lessen COPD-related clinic readmissions. This initiative must encompass

  • Complete affected individual education treatment adherence and symptom management.
  • Regularly, look at at-up visits to show improved sickness and alter remedies as wished.
  • Collaboration with coverage providers is needed to ensure fee-effective remedy preferences.
  • Supplying remedy samples and helping with monetary belongings for patients in want (CMS, 2024).

By imposing this preventive care method, Saint Mary’s can also efficiently reduce readmissions, improve patient results, and align with price-based sincere care dreams.

B. Financial Comparison of Healthcare Organizations

 

Saint Mary’s nearby scientific center is a for-profit, agency-owned clinic, and at the same time, Baptist Health Clinical Center in Conway, AR, is a voluntary, nonprofit health center. the $64000 factor economic differences between for-income and nonprofit hospitals include

  • For-income hospitals pay taxes and can generate capital through investor contributions.
  • Nonprofit hospitals are tax-exempt and want to reinvest profits into network health packages (Zare & Gabow, 2023).

B1. Alignment with Value-Based Care

Baptist Fitness’s clinical middle aligns more efficaciously with price-based absolute Care (VBC) by its nonprofit reputation. The Affordable Care Act (ACA) mandates that nonprofit hospitals conduct network health needs checks (CHNAs) to understand and deal with nearby fitness disparities (Rapfogel & Gee, 2021). This ensures sanatorium services prioritize network fitness goals, reinforcing affected individual-focused care thoughts.

B2. Equitable, Patient-Centered Care

Baptist Fitness Medical Center is highly positioned to offer equitable, affected, individual-focused Care because its nonprofit repute requires it to demonstrate tangible network advantages (Rapfogel & Gee, 2021). The necessities sell broader access to healthcare services, particularly for underserved populations, via charity care packages and preventive fitness tasks.

References

Cleveland is adequate. A., Motter, T., & Smith, Y. (2019). The evolving feature of nurses in rate-based absolute Care. Nursing Manages Quarterly, 40 3(1), 25-32. https://doi.org/10.1097/NAQ.0000000000000342

CMS. (2024). sanatorium examine. Centers for Medicare & Medicaid offerings. Retrieved from https://www.medicare.gov/care-compare

Rapfogel, N., & Gee, E. (2021). Addressing healthcare inequities in nonprofit hospitals. Center for American Progress.

The Joint rate. (2024). Accreditation and certification. Retrieved from https://www.jointcommission.org

Zare, H., & Gabow, P. (2023). For-profits instead of nonprofit hospitals: financial implications. fitness Affairs, forty two(2), 50-60.

 

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