The delivery of health care has always focused on quality. Recently, clinical quality has become a critical issue on both national and regional levels. Nurses must continue to improve the quality and safety within the healthcare system and focus on the six competencies identified by Quality and Safety Education for Nurses (QSEN): patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. 2011). Some ways to measure the improvement of quality and safety include setting quality and safety goals, and participating in national patient satisfaction reports. Leadership Strategy The problem identified in the clinical setting involves the readmissions of patients within 30 days of discharge for Heart Disease and Pneumonia. These are the top two readmissions at Spectrum Health Kelsey Campus (SHKC) and are subject to comparison with the national average for cost reimbursement adjustments (McHugh & Ma, 2013). This is an important concern for all nurses because nurses are in frontline positions promote optimal care that could reduce these readmissions. With the implementation of the Affordable Care Act, Medicare is reviewing these readmissions and are denying or reducing payment for the patients hospital stay (Centers for Medicare & Medicaid Services, (CMMS), 2013). Non-reimbursement can be very costly beginning fiscal year 2013 as data compiled from 2012 will determine these penalties (Hines & Barndt, 2012). It has been concluded that nurse education, staffing levels, and work environment are the three main concerns for hospital readmissions and are often preventable (McHugh & Ma, 2013).
The delivery of health care has always focused on quality. Recently, clinical quality has become a critical issue on both national and regional levels. Nurses must continue to improve the quality and safety within the healthcare system and focus on the six competencies identified by Quality and Safety Education for Nurses (QSEN): patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. 2011). Some ways to measure the improvement of quality and safety include setting quality and safety goals, and participating in national patient satisfaction reports. Leadership Strategy The problem identified in the clinical setting involves the readmissions of patients within 30 days of discharge for Heart Disease and Pneumonia. These are the top two readmissions at Spectrum Health Kelsey Campus (SHKC) and are subject to comparison with the national average for cost reimbursement adjustments (McHugh & Ma, 2013). This is an important concern for all nurses because nurses are in frontline positions promote optimal care that could reduce these readmissions. With the implementation of the Affordable Care Act, Medicare is reviewing these readmissions and are denying or reducing payment for the patients hospital stay (Centers for Medicare & Medicaid Services, (CMMS), 2013). Non-reimbursement can be very costly beginning fiscal year 2013 as data compiled from 2012 will determine these penalties (Hines & Barndt, 2012). It has been concluded that nurse education, staffing levels, and work environment are the three main concerns for hospital readmissions and are often preventable (McHugh & Ma, 2013).
team_2_leadership_strategy_analysis_2_nsg_440_graded_corrected.docx