NR 562 Data-driven Decision-making

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Chamberlain University College of Nursing *

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562

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Health Science

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Dec 6, 2023

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docx

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1 Data-driven Decision-making in Complex Systems Natasha Schlumbrecht Chamberlain University NR 562: Leadership and Management within Complex Healthcare Systems February 24, 2023
2 Introduction The way in which we deliver healthcare services is changing due to technological advances. Health information technology such as electronic health records, allows us to store, share, and analyze patient data to measure outcomes. Patient data is analyzed in response to quality and safety concerns to ensure best practices are used and positive patient outcomes (Kruse & Beane, 2018). Technology not only allows us to track patient information and medications, but also allows delivery of healthcare through telehealth. Telehealth can be used to communicate, educate, consult, and remotely monitor patients through multiple modalities. Telehealth is linked to the delivery of quality, safe, and efficient care as well as an increase in patient satisfaction (Gajarawala & Pelkowski, 2021). This paper will integrate the collection of data to measure patient outcomes and contribute to quality, safety, and efficacy. I will identify an external benchmark from Centers for Medicare and Medicaid Services that is met and apply to a case scenario. This paper will ultimately discuss how data drives decisions that are made in healthcare to promote quality, safety, and efficiency. Data Collection to Measure Outcomes Access to healthcare is seen to be a problem worldwide. One barrier noted in the clinical area is many patients must travel exceptionally long distances to see a provider. Some patients do not have reliable transportation to travel long distances, others do not have the financial means or the time off work to do so. The elderly population may have mobility or transportation issues as an obstacle to in person visits (Anderson & Singh, 2021). These patients are more likely to prolong the care needed due to the strain. In neurosurgery or neuro-oncology that could be the difference between life and death if the patient has a brain tumor. One study found that patients would travel 340, 000 miles, spend 4,800 hours, and 333, 000 in travel costs for oncological care
3 (Rowett & Christensen, 2020). During COVID-19 shutdowns, access to healthcare was limited to protect patients and staff from infection. Most hospital adopted the use of telehealth as a patient centered approach to maintain continuity of care and avoid delayed care or missed treatment (Anderson & Singh, 2021). Telehealth can be used to communicate, educate, consult, and remotely monitor patients through multiple modalities. Telehealth is linked to the delivery of quality, safe, and efficient care as well as an increase in patient satisfaction (Gajarawala & Pelkowski, 2021). Telemedicine can aid access to care by monitoring chronic diseases, covid, or mental health patients from home, limiting hospitalizations and emergency room visits. One study found that 95% of patients were satisfied with telehealth visits (Anderson & Singh, 2021). Telehealth improves access to care, decreases patient wait times, improves efficiency and convenience, decreases hospital costs, decreased patient stress, improves quality of care, and increases patient satisfaction (Gajarawala & Pelkowski, 2021). Literature reviews measures data to determine the efficiency and safety of telehealth. Benchmarks are guidelines set by regulatory and accreditation agencies to ensure quality, safe, and efficient care is delivered. Benchmarks met with telehealth are improved access to care and patient satisfaction. Patient satisfaction is measured through surveys given to the patient. Healthcare is moving from a fee-for-service model to reimbursement linked to quality of care given and patient satisfaction. Healthcare in general is taking more of a patient-centered care approach putting patients at the forefront of their care Telehealth allows the patient to be in control of their care as well as access to medications, providers notes, imaging, and lab work (Kuziemsky et. al., 2018).
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