Category: DNP

NURS FPX 8014 Assessment 2 Global Issue Problem Name Capella university NURS FPX 8014 Global Population Health Prof. Name Date Global Issue Problem Description Malaria is a life-threatening public health issue transmitted by infected mosquitoes. According to the World Health Organization (WHO), millions of individuals are impacted by the disease globally, and the African region is substantially influenced (WHO, 2023a). This assessment recognizes the prevalence, affected population, and strategies that are traditionally used to mitigate the global burden, followed by an educational resource/project proposal for a community health officer in the sub-Saharan Africa (SSA) region.  Description of the Problem Global Public Health Issue and Epidemiological Data  Analyzing the data from reputable sources, it is recognized that malaria is a significantly pervasive problem worldwide and in the sub-Saharan Africa region. Universally, in the year 2022, approximately 249 million individuals reported malaria encounters, resulting in 608,000 deaths (WHO, 2023a). This high prevalence underscores the persistent burden of malaria worldwide despite ongoing global efforts to combat the disease. The disease also imposes a substantial economic burden; $ 4.3 billion has been spent by governments and individuals worldwide (Andrade et al., 2022).  The scope of the disease in SSA is vast, affecting various dimensions of health and socioeconomic development. Malaria leads to severe morbidity and deaths, particularly among children (less than 5 years old). In 2022, Africa had approximately 94% of all malaria cases, and the disease-related mortality rate was 95%. There were 78% malaria deaths among children below five years in SSA (WHO, 2023a). Nations and populations disproportionately affected include Nigeria (26.8%), the Democratic Republic of the Congo (12.3%), Uganda (5.1%), and Mozambique (4.2%) (WHO, 2023a).  NURS FPX 8014 Assessment 2 Global Issue Problem Within these areas, vulnerable populations include children under five, pregnant women, and people living in rural and impoverished regions (WHO, n.d.). These groups are at a higher risk due to limited access to healthcare, inadequate housing conditions that favor mosquito breeding, and lower immunity levels. Significant inequities in malaria incidence and outcomes exist across different countries and regions. SSA, despite bearing the significant malaria burden, often has the least resources to combat the disease effectively. These nations face substantial challenges in malaria control and elimination due to factors such as political instability, limited healthcare facilities, and minimal financial resources for vaccine production and distribution in the region (Oladipo et al., 2022). Thus, research prioritizes political and economic investments by the region’s government and policymakers to control disease burden and prevent individual lives. Continued efforts are essential to address the impact of disease on population health.  Analysis of the Global Health Issue  Malaria, as a public health issue, has multifaced impacts on individuals, communities, and populations around the world, particularly in sub-Saharan African regions.  Impact on Individuals Malaria has a profound effect on individuals, particularly in high-burden areas such as Sub-Saharan Africa. For infected individuals, malaria causes a range of signs and symptoms, including high-graded temperature, chills, and head and musculoskeletal pain (Bamikole, 2024). Children below five years old and expecting women are especially at high risk, with children experiencing augmented mortality rates and pregnant women facing pregnancy-related complications. They may transmit the disease to the fetus, risking maternal and neonatal lives (Bamikole, 2024). Therefore, poor physical outcomes, the financial burden of treatment, and lost productivity due to illness significantly affect individuals’ quality of life.  Impact on Communities At the community level, the high prevalence of malaria strains local healthcare systems, leading to poor healthcare services within the communities. Additionally, the economic impact of the disease is substantial, where communities face direct costs for medical care and indirect costs due to poverty (Andrade et al., 2022). Among children, school absenteeism due to malaria is common, affecting educational outcomes and future economic prospects. Halliday et al. (2020) mention that malaria is estimated to result in 5% and 8% of preventable school absenteeism among African children. Lastly, communities also experience social disruption, as frequent illnesses and deaths weaken social bonds and disrupt community cohesion.  Impact on Populations Populations in malaria-endemic regions experience widespread and persistent health challenges that impede broader socioeconomic development. According to Andrade et al. (2022), countries with high malaria prevalence can see reductions in their GDP growth rates by up to 1.3% annually. This economic strain perpetuates cycles of poverty as affected populations struggle to break free from the financial constraints imposed by frequent malaria outbreaks. It hinders economic growth by reducing the workforce’s productivity and increasing healthcare costs. Additionally, high morbidity and mortality rates strain national resources and international aid, requiring significant investment in public health infrastructure and preventive measures to control the disease. Social and Political Ramifications  If malaria remains unaddressed, it could have severe social and political consequences, particularly in high-burden areas like Sub-Saharan Africa. Socially, the persistent high morbidity and mortality rates will strain individuals and communities, aggravating economic challenges and reducing overall quality of life (Andrade et al., 2022). Academic disruptions for children due to illness will hinder human capital development, limiting future economic growth. On the other hand, politically, governments may face increased pressure to address the health crisis, potentially leading to social unrest if they fail to deliver effective solutions (Oladipo et al., 2022). The financial implications of malaria could divert resources from other critical areas, further destabilizing already fragile economies. Additionally, ongoing health crises could undermine public trust in government institutions and international organizations, potentially leading to political instability and weakened governance. Addressing malaria is thus crucial not only for health outcomes but also for maintaining social cohesion and political stability. Social Determinants That Impact the Problem  The population most affected by malaria primarily resides in SSA (94%) ((WHO, 2023a). Rural populations are particularly affected due to poor living conditions and higher exposure to mosquito vectors. Several Social Determinants of Health (SDOH), such as poverty, lack of education, and limited healthcare accessibility, exacerbate the risk, trapping these communities in a cycle of disease and deprivation.  Poverty limits access to preventive solutions like insecticide-treated nets (ITNs) and timely medical treatment. According

NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues Name Capella university NURS FPX 8014 Global Population Health Prof. Name Date Non-governmental Agencies Involved in Global Issues Malaria, a mosquito-borne infectious disease, remains a critical global health challenge, impacting millions (249) and causing 608 thousand deaths as of the year 2022, particularly in sub-Saharan Africa (WHO, 2023). Government and Non-Governmental Organizations (NGOs) have been pivotal in combating this disease, employing diverse strategies to mitigate its spread and impact. This paper will delve into the distinction between NGOs and government-sponsored programs in addressing malaria. Several organizations have put efforts to address malaria, including the Global Fund to Fight AIDS, Tuberculosis, and Malaria (The Global Fund, 2024b). Differences between NGOs and Government-Sponsored Programs Public Health NGOs and governmental public health organizations both play crucial roles in addressing global health issues but operate differently in terms of structure, funding, and approach. Public health NGOs are independent entities that are non-profit and operate without direct control from any government. They receive funding from a variety of sources, including donations, grants, and private sector contributions. NGOs typically focus on specific health issues, working at the grassroots level to implement programs and interventions. They can often act more quickly and flexibly than governmental bodies due to less bureaucratic oversight (Besançon et al., 2022). Governmental public health organizations are state-funded responsible for public health policies and programs within a country or at an international level. They are typically funded through taxpayer money and are potentially subject to political influence and policy changes. Governmental organizations have broader mandates, including regulatory functions, research, and large-scale public health campaigns (Perry, 2023). The Global Fund is a partnership organization with an aim to end three particular diseases including Malaria, established in 2002. The Global Fund has raised over $ 50 billion since its inception. For the 2021-2023 funding cycle, it aimed to raise $14 billion. Current data shows that the organization has spent US$17.9 billion (65%) of its funding on the malaria program (The Global Fund, 2024a). These funds are used for insecticide-treated nets, medications, diagnostic testing, and strengthening health systems in affected areas. NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues The Global Fund operates in over 100 countries, with significant malaria interventions in Africa, Southeast Asia, and Latin America (The Global Fund, 2024a). The stakeholders for the organizations include donor governments, private sector partners, civil society organizations, and affected communities. Members join through a formal application review process, ensuring a wide representation from various sectors. The advantages of the NGO are that it is flexible, has targeted interventions, and has the ability to quickly mobilize resources. The Global Fund collaborates closely with local organizations to implement programs effectively. However, it faces challenges as it depends on donor funding, variability in annual contributions, and the need to maintain transparency and accountability (The Global Fund, 2024a).  It was founded in 1948, and it is an agency of the United Nations accountable for global public health. The WHO’s biennial budget for 2022-2023 was approximately $5.84 billion, funded through assessed contributions from member states and voluntary contributions (WHO, 2022). Current data shows that WHO’s Global Malaria Programme oversees the implementation of the Global Technical Strategy for Malaria 2016-2030, with the purpose of reducing malaria incidence and death rates by 90% by 2023 (WHO, 2021b). WHO operates globally, with six regional offices and 194 member states. The stakeholders include member states, international health bodies, and partner organizations. Membership is composed of UN member countries, which influence policies and finding allocations through the World Health Assembly. The advantage of it is that, it has extensive reach, an authoritative voice in global health, and the ability to coordinate large-scale international health efforts and set global health standards. However, they face challenges due to bureaucratic processes, political influences, and slower response time due to the need for consensus among member states (WHO, 2022a).   Public Health NGOs and Governmental Public Health Organizations There are several benefits for NGOs, like The Global Fund, over government-sponsored programs. First, public health NGOs like the Global Fund are more agile and flexible than government-sponsored ones (Rajabi et al., 2023). For instance, The Global Fund has been able to distribute insecticide-treated nets (55% coverage) swiftly and antimalarial medications in response to malaria outbreaks. Government organizations such as the WHO often need faster decision-making, which delays the implementation of urgent health initiatives. The reasons are the need for consensus among state members and adherence to complex regulations (Scott & Gong, 2021). Another benefit of NGOs over government organizations is targeted interventions. NGOs typically focus on specific health issues (malaria) and regions, allowing them to tailor their programs, but government bodies generally have broader mandates, which dilutes their focus based on areas (Afzal & Nasir, 2023). For instance, the Global Fund’s malaria programs are customized based on the local epidemiology and healthcare infrastructure, while WHO sets global standards and policies, not focusing on interventions needed at the community level. Lastly, NGOs provide the benefit of closely working with local communities, building trust, and fostering community involvement (Sanadgol et al., 2021). This approach enhances the effectiveness of interventions and makes programs culturally appropriate. The Global Fund (NGO) collaborates with local partners to ensure that malaria prevention and treatments are community-driven. However, WHO’s top-down approach only sometimes resonates with local populations as effectively (Bulthuis et al., 2020). NURS FPX 8014 Assessment 1 Nongovernmental Agencies Involved in Global Issues The comparative summary between the two bodies, The Global Fund (NGO) and WHO (Governmental Public Health), provides specific takeaways, particularly in funding and engagement. For instance, NGOs like The Global Fund rely on voluntary donations and grants, giving flexibility but also uncertainty of the financing. They often conduct fundraising campaigns, apply for grants, and partner with private sector entities to secure funding (The Global Fund, 2024b). WHO is funded by member state contributions, ensuring a more stable financial base but with potential political influence. Regarding distribution, NGOs can rapidly implement targeted interventions by distributing

NURS FPX 8012 Assessment 5 Quality Improvement Project Plan Name Capella university NURS-FPX 8012 Nursing Technology and Health Care Information Systems Prof. Name Date Quality Improvement Project Plan Using Informatics/Technology The rapid advancement of technology in healthcare has underscored the need for robust, efficient, and comprehensive Electronic Health Record (EHR) systems. As healthcare organizations strive to improve patient outcomes, enhance data management, and streamline clinical workflows, the adoption of EHR systems has become increasingly vital. This quality improvement project is focused on the implementation of an EHR system at the Mayo Clinic, a globally recognized leader in medical care. The initiative is driven by the need to address current inefficiencies, enhance patient safety, and align with industry best practices (Adeniyi et al., 2024). Through this project, the Mayo Clinic aims to leverage cutting-edge informatics and technology to transform its clinical practice, ensuring that both healthcare providers and patients benefit from more accurate, accessible, and integrated health information. Problem The Mayo Clinic is facing challenges in delivering immediate and comprehensive coordinated care across its healthcare facilities due to the lack of a unified Electronic Health Record (EHR) system. The current reliance on fragmented documentation methods, including paper records and disparate electronic systems, hinders the efficiency of patient care, particularly in acute care settings where timely access to accurate patient information is crucial. This inefficiency results in prolonged waiting times for patients requiring urgent attention, delays in diagnosis and treatment, and an overall reduction in the quality of care provided (Gandrup et al., 2020). The complexity of managing patient information in such a disjointed system increases the risk of medical errors, redundancies, and communication breakdowns, all of which can negatively impact patient outcomes and the Clinic’s reputation for excellence in healthcare. Stakeholders at the Mayo Clinic are deeply concerned about this issue, as the inability to provide timely and coordinated care threatens patient safety and diminishes trust in the Clinic’s services. Key stakeholders include the executive leadership, which is responsible for maintaining the Clinic’s standing as a leading healthcare institution; clinical departments and medical staff, whose ability to deliver high-quality care is directly affected by inefficient workflows; and the IT department, which is tasked with implementing solutions to streamline processes and improve data accessibility (Schmidt, 2020). Patients are directly impacted by these challenges, facing longer wait times and potential delays in receiving critical care. Addressing these issues is essential not only to enhance patient outcomes but also to uphold the Mayo Clinic’s commitment to delivering superior, patient-centered care. Data to Support the Problem and Trigger a Need for Change in Practice Mayo Clinic’s performance is highlighted by its A grade from the Leapfrog Group, reflecting strong safety measures with an average nurse-to-patient care time of 9.15 hours and a high error prevention score of 115.50 out of 120.00. The clinic’s medication reconciliation rate of 0.110 further demonstrates its commitment to accurate medication management (Schauer, 2023). Complementing this, Medicare Compare data shows Mayo Clinic’s 5-star rating with superior metrics, including a mortality rate of 4 out of 7 and a readmission rate of 6 out of 11, both better than national averages (Mueller et al., 2020). Despite these strong performance indicators, the implementation of an Electronic Health Record (EHR) system is necessary to enhance information management, address potential inefficiencies, and further improve patient care and coordination. Proposed Solution Implementing an upgraded Electronic Health Record (EHR) system at Mayo Clinic is essential for addressing existing challenges in care delivery and enhancing patient outcomes. This proposal details the incorporation of advanced technologies and informatics to tackle these issues effectively. Technologies/Informatics Cyber Security Tools The upgraded EHR system will incorporate advanced cybersecurity features to protect patient information. This will involve multifactor authentication, which requires multiple forms of verification to access sensitive data, enhancing security. Encryption will safeguard patient data by making it unreadable to unauthorized individuals during storage and transmission (Nowrozy et al., 2024). Secure access protocols will regulate who can view or alter patient records, ensuring compliance with privacy regulations and enhancing data reliability. These measures are essential for preventing unauthorized access and maintaining patient confidentiality. Speech Recognition System The new EHR system will include Speech Recognition (SR) technology to facilitate real-time voice-to-text documentation. This feature will allow healthcare providers to record patient information verbally, significantly reducing the time spent on manual data entry. By minimizing the need for typing, SR will enable medical staff to focus more on patient care rather than administrative tasks, thereby improving overall efficiency and accuracy in documenting patient information (Avendano et al., 2022). User-Friendly Interface A vital aspect of the enhanced EHR system will be a user-friendly interface designed for ease of use by both staff and patients. This intuitive design will make interactions with the system smoother, reduce the learning curve, and minimize errors. The interface will be streamlined to simplify complex tasks and workflows, reducing cognitive strain on users (Gandrup et al., 2020). This will lead to improved workflow efficiency, greater data accuracy, and an enhanced overall user experience. Optimized Alert System The new EHR system will feature an optimized alert system that supports clinical decision-making and enhances patient safety. This system will provide real-time alerts for critical information, such as medication interactions, allergy warnings, and abnormal lab results (Aguirre et al., 2019). By delivering timely notifications and reminders, the alert system will help healthcare providers make informed decisions and act promptly, reducing the risk of errors and improving patient outcomes. This will ensure that essential information is readily available, leading to better coordination and more effective patient care. Relevancy to the Solutions The proposed EHR enhancements are designed to tackle the current inefficiencies and delays in care at Mayo Clinic. By refining workflows, minimizing documentation errors, and boosting real-time data access, these technological upgrades are set to enhance patient care and operational efficiency significantly (Schauer, 2023). These improvements are aligned with the Mayo Clinic’s commitment to maintaining high standards of care and will contribute to better patient outcomes and increased satisfaction. The enhancements are expected

NURS FPX 8012 Assessment 4 Risk Mitigation Name Capella university NURS-FPX 8012 Nursing Technology and Health Care Information Systems Prof. Name Date Risk Mitigation Risk Management Plan Risk identified by SAFER Guides Possibility of Occurrence (Frequent, Sometimes, Never) Potential for Harm (Severe, Mild, None) Mitigation to Address Risks Poor integration between advanced and existing EHR systems Sometimes  Mild  To ensure smooth integration, a comprehensive plan guided by technical experts is essential. This plan should include regular testing and the use of contingency tools to address any issues that may arise during integration (Singh & Sittig, 2020). Cybersecurity threats and data breaches Sometimes Severe  Implement robust cybersecurity measures, such as encrypted data, multi-factor authentication, and regular security audits. Continuous staff training on data security practices will help mitigate the risk of data breaches (Keshta & Odeh, 2021). Inaccurate or biased EHR system configuration Sometimes Severe  Establish rigorous protocols for data selection and validation to minimize bias. Regular updates and monitoring of EHR configurations are crucial to maintaining accuracy and fairness (Bottle et al., 2020). Software or hardware malfunctions and system failures Sometimes  Severe  Implement thorough testing and validation processes for both software and hardware components before launch. Regular maintenance schedules and a well-defined response protocol will help address system failures promptly (Cerchione et al., 2022). Inadequate technical proficiency among staff Sometimes  Mild  Provide comprehensive training programs for clinicians and administrative staff to enhance their technical skills in using the EHR system. Ongoing support and training will ensure the system’s effective utilization (Humphrey‐Murto et al., 2022) NURS FPX 8012 Assessment 4 Risk Mitigation Lack of transparency in system implementation Sometimes  Mild Develop and implement clear communication strategies to ensure that all stakeholders, including staff and patients, understand the implementation process and its impact. Regular updates and feedback mechanisms will promote transparency (Hernandez & Gonzales, 2021). Issues with regulatory and legal compliance Frequent  Severe  Ensure that the EHR system fully complies with all relevant regulatory and legal guidelines, such as HIPAA. Regular reviews and updates of compliance measures will be conducted to reflect any changes in legislation or best practices (Nowrozy et al., 2024). User resistance to new technology Sometimes  Mild  Implement change management strategies, including Kotter’s 8-Step Process, to address resistance. Engage stakeholders early in the process, provide clear communication, and offer hands-on training to facilitate the smooth adoption of the EHR system (Larsson & Thesing, 2024). Ethical or Legal Issues Related to Identified Risks Inadequate implementation of advanced EHR systems at the Mayo Clinic presents numerous risks, including legal and ethical challenges, compromised patient care, and reduced organizational effectiveness. Key concerns include data breaches, system inefficiencies, insufficient staff training, improper configuration, lack of transparency, and diminished professional competency. A major ethical issue is the potential for biased treatment due to inadequate transparency within the EHR system, which could jeopardize patient rights and overall well-being. This lack of transparency may also foster mistrust among stakeholders, exposing the Mayo Clinic to both legal and ethical responsibilities (Hernandez & Gonzales, 2021). Moreover, inadequate validation and deployment of the EHR system could negatively impact various stakeholders, including healthcare professionals, resulting in ethical liabilities for the institution. Integration issues, if not correctly managed, could lead to inefficiencies and errors in data management, which would directly affect patient care and the Mayo Clinic’s overall productivity. Failure to identify and address these ethical issues promptly could expose the clinic to significant legal challenges related to data security and accuracy (Bottle et al., 2020). Additionally, insufficient technical training for staff could result in misinterpretation of data, adversely affecting patient care and legal standing. Such deficiencies would not only have financial implications but also hinder the Mayo Clinic’s ability to deliver high-quality care. Regulatory non-compliance, arising from poor system performance or software malfunctions, could further lead to legal and financial repercussions, compromising both patient safety and ethical standards (Cerchione et al., 2022). NURS FPX 8012 Assessment 4 Risk Mitigation Ethical concerns also arise from system inefficiencies, particularly when software malfunctions hinder practical patient evaluation. This situation is ethically troubling as it delays critical care delivery. The increased time required to navigate the EHR system could slow down clinicians’ ability to provide timely treatment, raising significant ethical concerns (Bottle et al., 2020). Over-reliance on EHR technology may reduce clinicians’ skills, compromise personalized care, and potentially result in moral and legal issues for the Mayo Clinic. Addressing these risks is essential to maintaining the efficiency of care services, especially in high-stakes environments like emergency departments, where delays can have serious consequences (Hernandez & Gonzales, 2021). If the Mayo Clinic fails to implement proper safeguards to manage EHR-related risks, it could face serious ethical dilemmas, including violations of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA breaches, such as unauthorized access to sensitive patient information, would carry legal penalties. Furthermore, improper EHR configurations could introduce biases in patient care, leading to medical errors and compromising patient safety, thus creating significant ethical challenges (Nowrozy et al., 2024). In addition, the lack of regulatory compliance in using EHR systems could lead to data breaches, exacerbating HIPAA violations and legal issues (Nowrozy et al., 2024). These problems could erode patient trust, diminish staff morale, and result in subpar care delivery, ultimately placing a substantial financial burden on the Mayo Clinic. Justification of Actions to Address Identified Risks Addressing the identified risks associated with the implementation of advanced EHR systems at the Mayo Clinic requires a series of strategic actions, each supported by evidence-based practices and peer-reviewed literature. One of the primary risks is the potential for poor integration between the new EHR system and existing systems, which could lead to inefficiencies and data handling errors. To mitigate this risk, it is crucial to implement robust integration planning and develop contingency tools. According to Singh & Sittig (2020), comprehensive testing phases and the involvement of technical experts during the integration process are essential to ensure compatibility with current systems and workflows. Such measures are critical in preventing data inaccuracies, maintaining clinical operations’ efficiency, and ultimately

NURS FPX 8012 Assessment 3 SAFER Guides and Evaluating Technology Usage Name Capella university NURS-FPX 8012 Nursing Technology and Health Care Information Systems Prof. Name Date SAFER Guides and Evaluating Technology Usage In the evolving landscape of healthcare, the integration of technology is crucial in enhancing patient care and operational efficiency. This assessment focuses on evaluating the use of the Electronic Health Record (EHR) system at the Mayo Clinic, leveraging the HealthIT SAFER Guides to identify performance and risk factors associated with its implementation. The SAFER Guides are designed to help healthcare organizations assess their EHR systems in terms of safety, functionality, and risk management (Sittig & Singh, 2021). This paper will discuss the proposed EHR technology for practice change at the Mayo Clinic, highlight areas where the clinic performs well according to the SAFER Guides, and uncover potential risks. Use of EHR to Drive Improvements in Healthcare Setting The Mayo Clinic’s adoption of an advanced Electronic Health Record (EHR) system is essential for enhancing clinical practice and patient care. This advanced technology guarantees that authorized personnel can access medical data securely and confidentially. The EHR system streamlines information sharing among various departments, including primary care, specialty clinics, and emergency services, through its user-friendly and intuitive design (Elizabeth et al., 2023). This ease of use aids clinicians and staff in efficiently retrieving patient information, thus reducing training challenges and promoting effective workflows. By integrating a comprehensive range of clinical data such as medical histories, diagnostic results, treatment plans, and prescription records into one platform, the EHR enables healthcare professionals to make informed, personalized decisions, ultimately improving patient care. The EHR system at Mayo Clinic supports connectivity with external systems like laboratories and pharmacies, minimizing manual data entry and facilitating coordinated care by providing accurate, real-time information (Aguirre et al., 2019). The inclusion of a Clinical Decision Support System (CDSS) within the EHR offers evidence-based guidelines, alerts, and notifications that assist healthcare providers in making well-informed decisions, particularly in urgent or emergencies. These features enhance diagnostic accuracy, reduce medical errors, and streamline medical processes, which in turn improves patient safety and reduces healthcare costs (Sutton et al., 2020). The EHR system also boosts communication among interdisciplinary teams during emergencies, shortens wait times, and speeds up response times, thereby enhancing patient outcomes in critical scenarios where timely data access is crucial (Tsai et al., 2020). Preliminary Goals for Improvement The EHR system aims to reduce patient waiting times by eliminating pre-assessments and simplifying premedical checkups, particularly in emergencies (Jabour, 2020). Thus, it enhances efficiency and patient safety at Mayo Clinic. The system will enhance the accuracy of medication reconciliation, ensuring that treatment plans and prescriptions are thoroughly reviewed and accurately recorded (Bhati et al., 2023). The advanced EHR is expected to improve patient experience and satisfaction by providing more efficient care and better service delivery. Implementing the EHR will help improve performance metrics such as Leapfrog and Medicare Compare Score Grades for Mayo Clinic, reflecting higher quality and safety outcomes. The EHR’s patient interface will enhance communication between doctors and patients, promoting better engagement and ensuring patients are well-informed about their care (Vos et al., 2020). SAFER Guides Findings Related to Well-Performing Areas The SAFER Guides provide a framework for assessing the effectiveness and safety of Electronic Health Record (EHR) systems. According to the SAFER Guides’ recommendations, the Mayo Clinic’s EHR system has shown strong performance in several key areas. One notable area of strength is system configuration. The SAFER Guides highlight the importance of configuring EHR systems to align with clinical workflows to enhance usability and reduce errors (Sittig et al., 2020). At the Mayo Clinic, the EHR system is tailored to meet the needs of various departments, such as cardiology and oncology. For example, the system includes customized templates for different specialties, which streamline data entry and ensure that clinicians can quickly access relevant information. This tailored approach reduces the likelihood of errors and aligns with SAFER Guides’ emphasis on effective system configuration (Kumar, 2019). Clinical Decision Support Systems (CDSS) are another critical aspect where Mayo Clinic’s EHR excels. The SAFER Guides recommend integrating CDSS features to support clinical decision-making with real-time, evidence-based recommendations. At the Mayo Clinic, the EHR system provides alerts for potential drug interactions and contraindications (Aguirre et al., 2019). For instance, during a patient’s prescription review, the system automatically alerts clinicians if a prescribed medication may interact with the patient’s existing medications, thus preventing possible adverse drug reactions. This feature directly supports the SAFER Guides’ focus on enhancing clinical decision-making through timely and reliable information (Kumar, 2019). NURS FPX 8012 Assessment 3 SAFER Guides and Evaluating Technology Usage Data integrity and security are also crucial elements emphasized by the SAFER Guides. The Mayo Clinic’s EHR system has implemented advanced encryption and stringent access controls to protect patient data. For example, the system uses role-based access controls to ensure that only authorized personnel can view or modify sensitive patient information. Additionally, regular system audits and automated data verification processes are in place to maintain data accuracy (Usha Nicole Cobrado et al., 2024). These practices align with the SAFER Guides’ recommendations for safeguarding data integrity. Information exchange between different healthcare systems is another area where Mayo Clinic’s EHR system performs exceptionally well. The SAFER Guides stress the importance of interoperability for effective care coordination. The Mayo Clinic’s EHR system seamlessly integrates with external systems, such as regional health information exchanges and laboratory systems. For instance, when a patient undergoes a diagnostic test at an external facility, the results are automatically integrated into the patient’s EHR, enabling clinicians to access comprehensive data and avoid redundant testing (Elizabeth et al., 2023). This interoperability enhances care coordination and aligns with SAFER Guides’ emphasis on effective information exchange. Lastly, the SAFER Guides highlight the role of patient engagement and communication in EHR effectiveness. Mayo Clinic’s EHR system includes a robust patient portal that allows individuals to view their health records, schedule appointments, and communicate with healthcare providers (Sittig & Singh, 2021).

NURS FPX 8012 Assessment 2 Proposal for a Change Name Capella university NURS-FPX 8012 Nursing Technology and Health Care Information Systems Prof. Name Date Using Data to Make Evidence-Based Technology Recommendations Slide 1:  Hello, I’m Evelyn, a nurse with a DNP. In today’s presentation, I will discuss how Mayo Clinic uses Electronic Health Records (EHR) systems to boost patient safety and improve overall performance. We will examine the Mayo Clinic’s performance in crucial patient safety areas as assessed by the Leapfrog Group and Medicare Compare. Based on this analysis, we will propose specific informatics and technology interventions aimed at further elevating patient care and operational effectiveness. Slide 2:  The Leapfrog Group, a nonprofit organization, assesses hospital safety by assigning letter grades from A to F. These grades reflect the hospital’s effectiveness in preventing medical errors, accidents, and infections based on publicly available data and a comprehensive hospital survey (The Leapfrog Group, 2024). On the other hand, Medicare Compare, provided by the Centers for Medicare & Medicaid Services (CMS), allows for comparing healthcare quality across different organizations. It assigns star ratings from 1 to 5, indicating performance in areas such as patient safety, experience, outcomes, and the provision of timely and adequate care (Kurian et al., 2021). Leapfrog and Medicare Compare Scores Slide 3:  The Leapfrog Group has awarded Mayo Clinic in Minnesota an A grade, reflecting its exceptional performance in various safety measures. This evaluation system assesses hospitals’ ability to maintain high standards of patient safety. Key factors include nurse-to-patient hours, efforts to prevent errors, and medication reconciliation (Schauer, 2023). Recent data shows the Mayo Clinic’s strong performance in these areas. Specifically, the average nurse-to-patient care time is 9.15 hours daily, exceeding recommended benchmarks. Leadership initiatives aimed at error prevention have achieved a score of 115.50 out of 120.00, indicating robust and effective strategies. Additionally, Mayo Clinic’s medication reconciliation rate is 0.110, significantly below the 50th percentile, highlighting its commitment to accurate medication management (Leapfrog Ratings, 2024). Slide 4:  Mayo Clinic holds a 5-star rating on Medicare Compare, demonstrating its excellent performance in patient safety and care quality. The clinic’s mortality rate is 4 out of 7, which is better than the national average of 5 out of 7. Its readmission rate stands at 6 out of 11, which is slightly better than the national average of 7 out of 11 (Mueller et al., 2020). Moreover, Mayo Clinic excels in providing timely and effective care, scoring 11 out of 12, surpassing national benchmarks. Patient satisfaction is also high, with a survey score of 4.5 out of 5 and a response rate of 30%, reflecting the clinic’s strong reputation for delivering high-quality care (Medicare.gov, 2024). Assessing Mayo Clinic in Minnesota against Two Other Hospitals Slide 5: In a recent Leapfrog report, Miami Valley Hospital received a “B” grade for safety, which is lower than Mayo Clinic’s “A” grade. Miami Valley Hospital has 6.82 nursing hours per day and an error prevention score of 92.31 out of 120, compared to Mayo Clinic’s 9.15 hours and 115.50 out of 120 (Leapfrog, 2024). The medication reconciliation rate at Miami Valley Hospital is 0.298, which is less efficient than the Mayo Clinic’s 0.110. Similarly, Atrium Medical Center also received a “B” grade and reports 7.25 nursing hours per day and an error prevention score of 92.31 out of 120 (Leapfrog, 2023). Atrium’s medication reconciliation rate is 0.095, slightly better than Mayo Clinic’s 0.110, but its overall performance in other areas is lower compared to Mayo Clinic. Slide 6: In Medicare Compare ratings, Miami Valley Hospital has an overall score of 3 out of 5 stars and a patient survey rating of 2 out of 5 stars, which are lower compared to Mayo Clinic’s ratings. Miami Valley’s mortality rate is 7 out of 7, and its readmission rate is 11 out of 11, both worse than Mayo Clinic’s figures of 4 out of 7 and 6 out of 11, respectively. Despite a timely and effective care score of 11 out of 12, Miami Valley still lags behind the Mayo Clinic (Medicare.gov, 2024c). On the other hand, Atrium Medical Center has an overall rating of 4 out of 5 stars and a patient survey rating of 3 out of 5 stars. Its mortality rate is 7 out of 7, higher than the Mayo Clinic’s, but its readmission rate of 10 out of 11 is better than the Mayo Clinic’s. Atrium’s timely and effective care score of 10 out of 12 is also slightly lower than Mayo Clinic’s score (Medicare.gov, 2024a).  Implementing Advanced EHR System  To Enhance Medicare Compare Scores Slide 7: Implementing an advanced EHR system is essential to improving Mayo Clinic’s Medicare Compare scores. Currently, the emergency department handles over 70,000 visits annually, with an average patient wait time of 150 minutes, which are both significant figures. Additionally, the hospital’s readmission rates for conditions like heart attack and heart failure are 10.5 days and 18 days per 100 discharges, respectively, indicating a need for improvement compared to national averages (Zheng et al., 2022). Upgrading to an advanced EHR system with features such as multi-factor authentication, encryption, and speech recognition could greatly benefit Mayo Clinic. Speech recognition can streamline the documentation process, allowing for faster and more accurate entry of patient information, thereby reducing wait times (Avendano et al., 2022). Enhanced encryption and multi-factor authentication will ensure that patient data is securely handled, thus safeguarding patient privacy and compliance. An intuitive and user-friendly interface will aid both staff and patients, leading to improved care delivery and potentially lowering readmission rates and mortality (Avendano et al., 2022). To Improve Leapfrog Scores Slide 8: Mayo Clinic’s Leapfrog report highlights several areas for improvement. The hospital’s score for leadership efforts to prevent errors is 115.50, while top-performing hospitals achieve a score of 120. The nursing and bedside care score is 85, below the 100 achieved by leading hospitals. Communication with doctors is rated at 92, compared to the best score of 98, and communication with nurses is at 90,

NURS FPX 8012 Assessment 1 Technology-Informatics Use in Your Practice Setting Name Capella university NURS-FPX 8012 Nursing Technology and Health Care Information Systems Prof. Name Date Technology Informatics Use in Your Practice Setting Greetings, I am _____. Today, I am excited to discuss how Electronic Health Records (EHRs) are used at Mayo Clinic, a leading institution known for its advanced healthcare practices. EHRs have become essential in modern medical practice, significantly transforming patient care and engagement (Adeniyi et al., 2024). At Mayo Clinic, this technology is critical to improving and managing the quality of patient care. My recent experience at the Mayo Clinic has provided valuable insights into the practical application of EHRs. In this video, I will explore the benefits of EHRs within Mayo Clinic’s acute care setting, address the challenges encountered in their implementation, and propose a redesigned workflow to enhance care coordination and patient outcomes. Understanding these aspects will help us leverage EHR technology more effectively to deliver exceptional patient care. Benefits of Chosen Technology Context Mayo Clinic, renowned for its exceptional healthcare services, has integrated Electronic Health Records (EHRs) into its acute care unit. EHRs replace traditional paper records with digital systems, improving the accuracy, accessibility, and management of patient information. This shift towards digitalization reflects a broader trend in healthcare aimed at enhancing patient outcomes, streamlining workflows, and supporting data-driven decision-making (Mehta et al., 2020). Understanding the benefits of EHRs at Mayo Clinic provides insights into how this technology enhances healthcare delivery and operational effectiveness. Benefits of the Chosen Technology EHRs EHRs at Mayo Clinic enable comprehensive and precise patient records, which is essential for delivering high-quality care. The system provides clinicians with complete patient histories, including previous treatments, allergies, and test results. This comprehensive access facilitates informed decision-making and reduces the likelihood of medical errors, enhancing patient safety by minimizing risks related to incorrect treatments or drug interactions. The adoption of EHRs promotes seamless communication among healthcare providers (Akinyemi et al., 2022). At Mayo Clinic, this means that all members of a patient’s care team, ranging from specialists to primary care physicians, can view and contribute to a unified patient record. This collaborative approach improves continuity of care, as clinicians are well-informed about the patient’s overall treatment plan, which is particularly advantageous in managing complex or chronic conditions (Tapuria et al., 2021). EHRs streamline various administrative tasks, such as ordering tests, documenting patient interactions, and managing prescriptions. For Mayo Clinic’s acute care unit, this efficiency results in reduced paperwork and quicker processing of patient information. Clinicians can dedicate more time to direct patient care rather than administrative duties, enhancing overall workflow efficiency and reducing patient wait times (Moy et al., 2023).  EHR systems at Mayo Clinic facilitate robust data collection and analysis, supporting evidence-based practice. By aggregating patient data, EHRs help identify trends and outcomes, enabling healthcare providers to make informed decisions and implement best practices. This data-driven approach is crucial for refining treatment protocols and improving patient care quality. EHRs at Mayo Clinic include patient portals that offer patients access to their health information, appointment scheduling, and communication with their care team (Chung et al., 2019). This functionality empowers patients to actively participate in their healthcare, leading to increased satisfaction and better adherence to treatment plans. EHRs assist Mayo Clinic in adhering to healthcare regulations and standards, including those stipulated by the Health Information Technology for Economic and Clinical Health (HITECH) Act and Meaningful Use criteria. The technology enables accurate and timely reporting, which is vital for maintaining accreditation and meeting quality metrics (Chung et al., 2019). Obstacles to Utilizing EHR The integration of Electronic Health Records (EHRs) at Mayo Clinic’s acute care unit brings significant benefits but also presents several challenges. From a healthcare provider’s perspective, these obstacles can impact the efficient use and overall effectiveness of the EHR system. System integration issues pose a significant challenge. At Mayo Clinic, multiple specialized systems, including laboratory and imaging systems, are used in conjunction with EHRs. Ensuring seamless communication between these systems can be complex. Integration problems may lead to fragmented patient information, delays in data sharing, and additional manual data entry tasks, which can affect the efficiency of patient care (Moy et al., 2023). Usability and user training also present obstacles. EHR systems, while designed to streamline documentation and access, can be complex and challenging to navigate. Providers may require extensive training to become proficient with the system. Inadequate training or difficulties in using the EHR can result in decreased productivity, user frustration, and potential errors in patient documentation, which can affect care quality (Tsai et al., 2020). Data entry and accuracy are critical concerns. Manually entering patient data into EHR systems can be time-consuming and prone to errors. Ensuring that patient records are accurate and up-to-date is crucial in an acute care setting (Adeniyi et al., 2024). Mistakes in data entry can impact clinical decision-making and patient safety, highlighting the need for ongoing quality control and vigilance. NURS FPX 8012 Assessment 1 Technology-Informatics Use in Your Practice Setting Workflow disruption is another significant challenge. The transition to EHRs can disrupt established workflows and routines. Providers may experience interruptions as they adapt to new electronic documentation practices. This disruption can temporarily affect the efficiency of care delivery, particularly during the period when both paper and electronic systems might be in use. Data privacy and security concerns are paramount with EHR systems. While EHRs enhance data accessibility, they also raise concerns about the protection of sensitive patient information (Nowrozy et al., 2024). Ensuring that patient data is secure from unauthorized access and cyber threats requires stringent security measures and adherence to regulations such as the Health Insurance Portability and Accountability Act (HIPAA) (Schmidt, 2020). Balancing accessibility with security is a challenging aspect of EHR management. Financial costs associated with EHR systems can also be a barrier. The initial investment and ongoing maintenance costs for EHRs are substantial. Although EHRs are intended to improve efficiency and reduce costs over time, the financial burden of

NURS FPX 8010 Assessment 4 Quality Improvement Proposal Name Capella university NURS-FPX 8010 Executive Leadership in Contemporary Nursing Prof. Name Date Quality Improvement Proposal Slide 1: Welcome, everyone. I am Felicia Chukes. Thank you for joining this discussion on advancing healthcare excellence through quality improvement initiatives. Today, we will explore how the Mayo Clinic’s Department of Medicine aligns its efforts with the strategic priority of delivering superior patient-centered care to achieve impactful outcomes. Slide 2: The Quality Improvement (QI) initiative aims to improve patient care through the organization’s strategic priority of providing highly quality patient-centered care in the Department of Medicine at Mayo Clinic. The Mayo Clinic, the world’s premier center for healthcare, points out that healthcare solutions must adopt applications and tailored cures for every patient. This vision is about developing new treatments and technologies, streamlining the process of testing them, and building a strong, diverse team of researchers to keep advancing healthcare in the future (Caine et al., 2022). This program will enhance care coordination and ensure patients get quality care at any point in their healthcare continuum. Through achieving this strategic plan, the Department of Medicine amplifies its dedication to offering the best quality and personalized healthcare, especially in what the patients are experiencing. Rationale for Establishing the Strategic Priority Slide 3: The strategic priority in the Department of Medicine of Mayo Clinic has been improving patient satisfaction and health outcomes tied to changing healthcare demands from the patients’ perspective. Consumer involvement has been identified in the evidence-based practice literature as a primary practice in delivering quality health services. Other researchers stress that patient-centeredness has better outcomes regarding clinical results, decreasing reaction rates, and satisfaction levels, as these plans are oriented to paying attention to patients’ needs, communicating, and making decisions together (Levitan & Schoenbaum, 2021). The implications of this priority are multifaceted. The coordination mechanism means that the Department of Medicine helps achieve timely and efficient patient care throughout the cycle. It also allows the patients and providers to build a good working relationship since they trust their providers, leading to effective treatment plans and healthier lives (Engle et al., 2021). Fostering a strong, diverse team of researchers is an excellent QI approach because it promotes innovation and inclusivity in addressing complex healthcare challenges. Diverse teams bring varied perspectives and expertise, which enhances problem-solving and the development of creative, patient-centered solutions (Brewster et al., 2021). On the other hand, the lack of individual-centered care priority may lead to the division of care, patient dissatisfaction, and increased healthcare costs. As such, complications and readmissions can be avoided. In pursuit of this priority, Mayo Clinic establishes itself as an institution that embraces advanced solutions like research on cures and technologies to maintain a vanguard of leadership in personalized healthcare. It responds to future health needs but never deviates from focusing on every patient’s needs and wishes. SWOT Analysis for Chosen Strategic Priority Slide 4:  Strengths: The Department of Medicine is robustly involved with the Mayo Clinic 2030 strategic plan focusing on patient-centered opportunities in devices and drug development, clinical research, and professional competencies. This aligns with the strategic directions that concentrate on offering excellent cardinal patient care through innovative solutions emanating from patients’ needs to enhance the quality of health care locally and globally (Caine et al., 2022). What has been most appealing to me is that by building on Mayo Clinic’s research and business development experiences, the department has an advantageous opportunity to promote developments in clinical trials and early-phase drug development. This facilitates the bringing out new treatment procedures to enhance clients’ treatment outcomes. This focus is applied to the department’s clinical trials, especially early-phase investigator-initiated trials, ensuring that new effective treatments are developed and made available to patients in the shortest time possible to meet the strategic imperative of delivering superior patient care. Propelled by patient needs, the department creates advanced treatments and technologies, thus supporting Mayo Clinic’s local and global strategic priorities, focusing on improving patient outcomes and satisfaction. The QI initiative promotes the mission of ‘Putting patients first,’ directly strengthening the clinical care delivery system through patient-oriented and integrated research and development. Weaknesses: The Department of Medicine has high resource needs. Delivering integrated teams for devices and drugs alongside clinical trial support may cause resource strain, leading to ineffective patient care. It is due to either waiting time for testing or innovation to implementation discrepancies in certain subspecialties. The ambitious intention in designing a centralized organizational structure might lead the department to complicate the coordination of teamwork with other integrated departments, hence delayed or constrained models of treatment delivery to patients. That is why the departments’ focus on innovation and research might be seen as the focus on aspects that are not always directly related to patients’ needs. Notwithstanding the innovations, sustaining patient-focused care could be difficult when those innovations are still in their experimental state or phase. Opportunities: Telemedicine and remote diagnostics are among the possibilities that the cooperation with the Mayo Clinic Platform opens. This is particularly worth it, especially under a patient-centered care system, since it might enhance patient reach to care, especially in difficult or underserved areas. Diversity in research talents allows the department to source for and adopt different approaches to improve the discovery and subsequent application of more effective patient-centered solutions, which would benefit the cross-sectional, diverse patient population (Pel et al., 2021). Building on existing collaborations with pharmaceutical and biotechnology companies and artificial intelligence (AI) research and development (R&D), the department can advance the speed with which discoveries get translated to patients, directly impacting patient care and elevating the department’s status as a research powerhouse. In the Mayo Clinic’s political landscape, the Department of Medicine’s focus on partnerships with federal agencies, industry leaders, and venture capitalists aligns with broader healthcare policies and funding regulations (Caine et al., 2022). This strategic collaboration ensures sustained financial support and compliance with regulatory standards, enhancing long-term research and patient care initiatives.  Threats: Flexibilities in healthcare policy and financing from Federal agencies

NURS FPX 8010 Assessment 3 Strategic Plan Development Name Capella university NURS-FPX 8010 Executive Leadership in Contemporary Nursing Prof. Name Date Strategic Plan Development Strategic planning in healthcare is vital for addressing complex challenges and ensuring alignment with organizational goals. Using the balanced scorecard approach, this strategic plan outlines the priorities of the Department of Medicine within the Mayo Clinic, focusing on patient-centered innovation, equity, and efficiency. The Department of Medicine aims to enhance patient-centered care through digital innovation, improve operational efficiency, and foster an inclusive and collaborative culture, aligning with Mayo Clinic’s strategic pillars of practice innovation, business development, and people-focused transformation (Caine et al., 2022). Building on the appraisal of Mayo Clinic’s strategic objectives, this plan aims to align departmental goals with the organization’s mission to inspire hope and deliver superior health care. Department Strategic Priorities The Department of Medicine at Mayo Clinic is pivotal in advancing the organization’s mission of providing exceptional patient-centered care, groundbreaking research, and world-class education. The department’s strategic priorities directly contribute to the organizational goals of innovation, quality, and sustainability (see Appendix A). Within the financial area, the department plans to decrease operating costs for the next twelve months by 10% through effective management of resources and rationalization of workflows. This priority aligns well with Mayo Clinic’s organizational strategic plan for sustainability to provide for future long-term financial needs. This priority is very important because controlling operating costs increases the sustainability of the department’s budget, enabling it to deliver high-quality care while maintaining efficient resource use. This priority is feasible because areas of wastage can be easily highlighted for the department with data analytics, eliminating flows that do not impact patient care and leading to further cost reductions. A study by Homauni et al. (2023) recommends resource management through Performance-based Budgeting (PBB) to align the incentives with organizational goals, stating this approach improves resource allocation by incentivizing providers to focus on improving outcomes and optimizing processes.   In the customer domain, the department aims to increase patient satisfaction scores by 15 % in the next fiscal year. This is to be worked out by identifying areas like communication, care transition, and the amount of waiting time. This priority is crucial to Mayo Clinic’s objective of offering patients the best experience to build confidence and firmly stick to the Clinic for retention purposes. It is feasible to achieve this by accreditation of special training courses for staff, effective patient feedback tools, and including patients’ preferences in organizational and management structures (Ferreira et al., 2023).  NURS FPX 8010 Assessment 3 Strategic Plan Development The focus on the internal area of a business is the proposed procedure of introducing the digital scheduling system during the first half of the year. This initiative supports Mayo Clinic’s strategic direction of reporting operational excellence and innovations through technology in functional operations. Kachooei et al. (2023) concluded that web-based online scheduling systems can significantly improve patient outcomes by reducing no-show rates and accelerating the progression to surgery. These findings suggest that healthcare providers may benefit from online scheduling systems to streamline administrative processes, improve patient engagement, and enhance clinical efficiency. This priority is realistically attainable and effective in eliminating complicated bureaucracy and improving patient care because of the advanced tools in the department and the distribution of resources. For instance, Mayo Clinic can automate the process, reducing the reliance on manual data entry and allowing patients to choose their appointment slots, simplifying administrative tasks directly. Next, in the learning and growth domain, the department will expand the staff training hours by 20% in the next year to prepare for changes in medical performing technological and caring practices. This priority aligns with Mayo Clinic’s organizational objective of achieving a learning culture and is essential to the organization’s success and global positioning. The objectiveness of this goal is supported by the fact that structured training programs and support of the learning environment are guaranteed across the department, thus making this a plausible goal regarding professional development. Mash and Edwards (2020) agree that the learning environment is crucial for enhancing future practice delivery in healthcare. When practice development is encouraged, and the appropriate resources are given to healthcare workers, their competence increases, and so do cohesion and patient care benefits. With the goals above, the Department of Medicine does more than meet its unique targets; it also advances Mayo Clinic’s core values of commitment to innovation, teamwork, and sustainability. Effects of Organizational Policies Organizational policies significantly influence the strategic priorities of the Department of Medicine at Mayo Clinic, shaping its operations and goals to align with the broader institutional mission. These policies, such as those governing financial management, patient care standards, technology adoption, and workforce development, directly impact the department’s ability to achieve its strategic objectives. For instance, the Mayo Clinic organization has a Cost Containment Policy that requires the appropriate utilization of resources to maintain its financial stability while delivering quality care (Ong & Vigonte, 2024). This policy aligns more with achieving the departmental financial objective of decreasing operational costs by ten percent. To meet guidance on the department’s initiatives to follow value-based procurement, expense monitoring, and energy utilization, the department can demonstrate the initiatives’ compliance with organizational norms of procurement and expenses without incurring unnecessary costs.The Patient-Centered Care Policy at Mayo Clinic requires the improvement of patient satisfaction through effective communication and collaboration (Simpson et al., 2022). This policy supports one of the various strategic objectives attached to the department – the ability to raise patient satisfaction scores. This policy inherently supports inclusivity by emphasizing the importance of understanding and addressing diverse patient needs. It encourages healthcare providers to practice empathy, cultural competence, and equitable treatment for all patients, regardless of background. NURS FPX 8010 Assessment 3 Strategic Plan Development  It provides guidelines for care standards and the foundation for training and feedback processes, through which the department can create more successful service delivery and increase patients’ confidence.Mayo Clinic’s Technology Integration policy aims to implement solutions to carrying out organizational processes

NURS FPX 8010 Assessment 2 Strategic Plan Appraisal Name Capella university NURS-FPX 8010 Executive Leadership in Contemporary Nursing Prof. Name Date Strategic Plan Appraisal The strategic planning process sets an organization’s direction, outlining big-picture goals and precise strategies to achieve them. For Harris Health System-Ben Taub Hospital, the 2021-2025 strategic plan is based on five pillars (Harris Health System, 2021). This appraisal will evaluate data validity, stakeholder input, and its balanced scorecard. The strategic plan encapsulates the hospital’s purpose and values, ensuring clarity, specificity, practicality, and comprehensiveness in achieving its goals. Strategic Plan Analysis Ben Taub Hospital, a vital part of the Harris Health System in Houston, Texas, serves nearly four million residents in Harris County. The hospital’s strategic plan for 2021-2025 is built on five core pillars: quality and patient safety, people, one Harris Health System, population health management, and infrastructure optimization. Each pillar addresses distinct aspects of healthcare needs and outlines specific goals and strategies for implementation (County Office, 2020). The first pillar, quality, and patient safety aims for the hospital to become a High-Reliability Organization (HRO) with the goal of zero patient harm. This objective is pursued through the Event and Incident Reporting System (EIRS), which tracks, reports, and investigates issues to continuously improve processes and ensure patient safety (HHS, 2023). This commitment is crucial for maintaining high care standards and building community trust. The second pillar, people, focuses on collecting and responding to feedback from patients, employees, and medical staff. The hospital creates and implements plans to address high-impact areas based on this feedback to enhance stakeholder experiences. This pillar is centered on fostering a culture of respect, appreciation, and trust, which is essential for achieving customer satisfaction and improving service quality. The third pillar, Harris Health System, emphasizes the need for a unified, integrated healthcare system. By minimizing variations in care delivery, the hospital seeks to provide consistent, high-quality care across the system. This approach aims to streamline administration, promote efficiency, and reduce disparities in care, supporting the hospital’s mission to deliver coordinated and comprehensive healthcare (HHS, 2023). NURS FPX 8010 Assessment 2 Strategic Plan Appraisal Population health management, the fourth strategic pillar, emphasizes a comprehensive approach to health that integrates protective, simulated, and community-oriented services through partnerships with clinical and social service providers. By utilizing advanced population health analytics and innovative technologies, the hospital moves from a reactive model of managing diseases to a proactive strategy focused on health promotion and disease prevention. This approach is designed to enhance overall community health outcomes. The infrastructure optimization pillar, the final component of the strategy, focuses on upgrading and investing in the hospital’s physical facilities, information technology, telehealth capabilities, data security, and health informatics systems. The objectives of this pillar are to maximize efficiency, ensure patient safety, and address both current and future healthcare needs. These initiatives aim to facilitate the delivery of excellent care, enhance operational effectiveness, and respond to the evolving demands of the healthcare environment (HHS, 2023). Through these strategic efforts, the hospital strives to advance high-quality care and achieve long-term improvements in community health. Alignment with Mission and Vision The strategic priorities outlined in these five pillars align closely with Ben Taub Hospital’s mission and vision. The hospital’s mission is “to improve the health of those most in need in Harris County through quality care delivery, coordination of care, and education.” Ben Taub Hospital aspires to be the foremost public academic healthcare institution in the country. Their guiding principles are encapsulated in the acronym QUALITY, which stands for Quality and Patient Safety, Unity as One Harris Health System, Accountability and a Just Culture, Leadership and Integrity, Innovation, Education, Research, Trust, Recognition, Respect, and You (patients, staff, and medical professionals). By prioritizing these core values, Ben Taub Hospital aligns its strategic objectives with its mission to deliver exceptional care to those most in need. The focus on safety, systemic integration, population health, and infrastructure development reinforces the hospital’s goal of achieving prominence as a top-tier public academic healthcare system. This strategic framework not only meets current healthcare demands but also lays the groundwork for enduring improvements in community health outcomes (County Office, 2020). Through this multifaceted approach, the hospital aims to create a solid foundation for long-term, meaningful advancements in health and wellness for the populations it serves. Validity of Data and Analytical Strategies Ben Taub Hospital, a key facility within the Harris Health System, uses a comprehensive framework of Key Performance Indicators (KPIs) to advance its strategic priorities across five foundational pillars. Evaluating the validity of the data and analytical strategies behind these KPIs is crucial for understanding how the hospital works toward its mission and vision. For the quality and patient safety pillar, the hospital benchmarks against national quality metrics through Vizient, a performance improvement organization that offers data-driven insights and analytics. The hospital uses data on patient outcomes, infection rates, and adverse events to establish benchmarks and identify improvement opportunities (Vizient, 2024). These data sources are derived from internal performance metrics and external regulatory measures, including the Centers for Medicare and Medicaid Services (CMS) and public health data (CMS.gov, 2024). In the people pillar, the hospital aims to enhance both employee and patient satisfaction. KPIs in this area include data from employee engagement surveys, patient satisfaction surveys, and retention rates. Key strategies involve implementing a nursing strategic plan to boost professional development and retention and a patient satisfaction action plan. The data for these KPIs come from internal surveys, feedback mechanisms, and industry benchmarking. The one Harris Health System pillar focuses on integrating healthcare delivery across the system to minimize care variations and improve efficiency. KPIs for this pillar encompass throughput metrics, waste reduction, and procurement efficiency. Data for these indicators are sourced from internal performance records, financial data, and operational metrics. The hospital works on redesigning bed management and refining procurement processes to enhance efficiency and patient flow. NURS FPX 8010 Assessment 2 Strategic Plan Appraisal For population health management, KPIs address social determinants of health, identify high-need