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, while top hospitals score 96. The patient response score stands at 87, which is lower than the leading score of 95 (Leapfrog Ratings, 2024). Implementing an advanced EHR system could significantly enhance Mayo Clinic’s performance in addressing these issues. Improved error prevention and medication reconciliation through advanced EHR features will enhance patient safety. Furthermore, optimizing communication between patients and healthcare providers with a user-friendly EHR interface can build trust and improve patient satisfaction (Upadhyay & Hu, 2022). These enhancements will support the Mayo Clinic in achieving and maintaining a top grade from Leapfrog.

Performance Data for Executive Appeal

Slide 9:

The presentation is crafted to provide Mayo Clinic’s executive team with a comprehensive analysis of its performance metrics, as reflected in Leapfrog and Medicare Compare scores. The goal is to deliver a clear, data-driven summary of the clinic’s current performance, highlighting both its strengths and areas where improvements are needed. This information is crucial for making informed strategic decisions. For instance, Mayo Clinic’s strong performance in patient safety and care timeliness is highlighted, but the presentation also points out areas for potential enhancement (Schauer, 2023). Specific issues, such as improving nursing-to-bedside care and communication with patients, are addressed. For example, Mayo Clinic’s scores for communication with doctors and nurses reveal gaps that could be bridged through advanced EHR systems (Avendano et al., 2022). Implementing such systems can enhance patient care and streamline administrative processes by incorporating features like speech recognition and robust data security measures.

The advanced EHR system proposed for the Mayo Clinic is designed to optimize patient care workflows, enhance documentation accuracy, and secure patient data. By integrating these technological improvements, Mayo Clinic can address current inefficiencies, such as issues with medication reconciliation and error prevention. This will help the clinic maintain its high Leapfrog and Medicare scores. The presentation also compares Mayo Clinic’s performance with that of other leading hospitals. This comparative data provides context for understanding Mayo Clinic’s standing relative to its peers and underscores both its competitive strengths and areas for improvement (Mueller et al., 2020). The aim is to convince the executive team of the significant benefits that advanced EHR systems can bring (Upadhyay & Hu, 2022).

Conclusion

Slide 10:

Based on Leapfrog and Medicare scores, Mayo Clinic’s current performance shows strengths and areas for improvement. Upgrading to an advanced EHR system can address these issues by improving patient safety, reducing wait times, and enhancing communication. This technology will streamline workflows and secure patient data. Implementing these changes will help Mayo Clinic achieve higher scores and strengthen its reputation. Overall, these upgrades will lead to better patient care and organizational performance.

References

Avendano, J. P., Gallagher, D. O., Hawes, J. D., Boyle, J., Glasser, L., Aryee, J., & Katt, B. M. (2022). Interfacing with the electronic health record (EHR): A comparative review of modes of documentation. Cureus, 14(6). https://doi.org/10.7759/cureus.26330 

Kurian, N., Maid, J., Mitra, S., Rhyne, L., Korvink, M., & Gunn, L. H. (2021). Predicting hospital overall quality star ratings in the USA. Healthcare, 9(4), 486. https://doi.org/10.3390/healthcare9040486 

Leapfrog. (2023). Atrium Medical Center | Ratings | Leapfrog Group. Ratings.leapfroggroup.org. https://ratings.leapfroggroup.org/facility/details/36-0076/atrium-medical-center-middletown-oh 

Leapfrog. (2024). Miami Valley Hospital | Ratings | Leapfrog Group. Ratings.leapfroggroup.org. https://ratings.leapfroggroup.org/facility/details/36-0051/miami-valley-hospital-dayton-oh 

NURS FPX 8012 Assessment 2 Proposal for a Change

Leapfrog Ratings. (2024). Mayo Clinic-Rochester | Ratings | Leapfrog Group. https://ratings.leapfroggroup.org/facility/details/24-0010/mayo-clinic-rochester-rochester-mn#:~:text=This%20hospital%20scored%20110.77%20out%20of%20120.00%20possible%20points. 

Medicare.gov. (2024a). Atrium Medical Center. Www.medicare.gov. https://www.medicare.gov/care-compare/details/hospital/360076?id=f653fc74-6544-41db-8b47-8d8c79a7e6f5&state=OH&measure=hospital-overall-rating 

Medicare.gov. (2024b). Find healthcare providers: Compare care near you | Medicare. Medicare.gov. https://www.medicare.gov/care-compare/details/hospital/030103/view-all?city=Phoenix&state=AZ&zipcode=85054&measure=hospital-patient-reported-outcomes 

Medicare.gov. (2024c). Miami Valley Hospital. Www.medicare.gov. https://www.medicare.gov/care-compare/details/hospital/360051?id=0e23bf3b-d061-4aba-87e9-79a3376c045c&state=OH 

Mueller, J. T., Thiemann, K. M. B., Lessow, C., Murad, M. H., Wang, Z., Santrach, P., & Poe, J. (2020). The Mayo clinic hospital mortality reduction project: Description and results. Journal of Healthcare Management / American College of Healthcare Executives, 65(2), 122–132. https://doi.org/10.1097/JHM-D-19-00002 

Schauer, A. (2023). Mayo Hospitals earn the highest grades for patient safety from Leapfrog Group. Mayo Clinic News Network. https://newsnetwork.mayoclinic.org/discussion/mayo-hospitals-earn-highest-grades-for-patient-safety-from-leapfrog-group/ 

NURS FPX 8012 Assessment 2 Proposal for a Change

The Leapfrog Group. (2024). New hospital safety grades find significant improvements in patient experience reports and healthcare-associated infections. Leapfrog. https://www.leapfroggroup.org/news-events/new-hospital-safety-grades-find-significant-improvements-patient-experience-reports-and 

Upadhyay, S., & Hu, H. (2022). A qualitative analysis of the impact of electronic health records (EHR) on healthcare quality and safety: Clinicians’ lived experiences. Health Services Insights, 15(1), 1–7. https://journals.sagepub.com/doi/10.1177/11786329211070722 

Zheng, L., Smith, N. J., Teng, B. Q., Szabo, A., & Joyce, D. L. (2022). A predictive model for heart failure readmission using nationwide readmissions database. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 6(3), 228–238. https://doi.org/10.1016/j.mayocpiqo.2022.04.002