Topic 2: Pick a popular weight loss diet and evaluate it using the tools introduced in Lesson 1- which was- My plate.  Does the diet provide an appropriate amount of all the nutrients and food groups?  Is the meal plan sound?  How much weight loss does it advertise?  Based on the information in this week’s chapters, is that realistic?  What tools did you use to evaluate the diet?

What is your idea of a healthy community? Provide specific examples. What do healthy communities have in common? How would you provide care for a community if your idea of a healthy community does not match your community’s definition of a healthy community?

The individual you presented in your oral presentation needs to remain as a central feature of your paper. 

We suggest you select a narrow aspect of care rather than a very broad topic as this allows you to add depth to your paper rather providing an overview.

You should start with a brief introduction to the individual (remembering to protect the identity) and the context of care 

then briefly explain why you selected this aspect of care (or the absence of an aspect of care).

You will then need to examine the best available evidence on this aspect of care –

what does the current literature say about this topic? Was the care provided congruent with the evidence? On reflection did it differ, how and why?  

Your conclusion should offer a statement on the impact your new learning will have on your future practice.

please read the instructions and rubric file.

Comment 1

First, knowing what a
CNL does is important to know why they need to meet certain requirements. The
American Association of Colleges of Nursing (AACN) describes the role as “a
point-of-care leadership and provides care in situation of particular
complexity” (Point-of-Care, n.d.). A CNL is someone that “identifies ways to
improve the quality of patient care by consistently evaluating patient outcomes,
assessing cohort risk, changing care plans, advocating for change and mentoring
fellow nurses” (Clinical Nurse Leader, n.d.). Other responsibilities of a CNL is
to provide care coordination for patients with complex needs, implementing evidence-based
practice, instituting quality improvement measurements, and coordinating
lateral interdisciplinary care that includes disciplines as diverse as
occupational and physical therapy (Point-of-Care, n.d.). In order to fulfill these
job requirements, one must possess strong problem solving and critical thinking
skills, the desire to work closely with patients, and the willingness to mentor
fellow nurses (Clinical Nurse Leader, n.d.). Academically, the CNL must also
earn a minimum of an Master’s of Science degree in Nursing (MSN) in the
Clinical Nurse Leader program as well as taking and passing the CNL certification
from the Commission on Nurse Certification.   

A CNL’s role or influence
in patient care is through implementing and ensuring that care delivery is
safe, evidence-based, and targeted towards optimal quality outcomes (Reid &
Dennison, 2011). The intent of the new implementation of a CNL is to promote patient
safety but also to incorporate the CNL’s focus on safety and to provide
front-line care instead of being in a back hall, disconnected from the eyes and
ears of the medical staff.

Comment 2

The role of clinical nurse leader (CNL) began in 2003-2004 due to the quality and safety reports of the Institute of Medicine. Clinical nurse leaders are prepared for direct clinical leadership to provide safe, evidence-based care and ensure that the patients get optimal healthcare. Clinical nurse leaders have multiple roles in the workplace. CNLs collect and evaluate treatment results and develop solutions to improve the outcome of patient care, evaluate the safety of the workplace, wnsure that the facilities are up-to-date on the latest research, and also provide patients with direct care and education. In order to become a clinical nurse leader, and BSN must be obtained followed by a Master’s of Science Clinical Nurse Leader program. Once completed a CNL certification test must be taken and passed.

There are multiple ways that they can ensure the safety of the patients. By providing direct patient care and education, CNLs are able to educate patients on their treatment plan and educate them on how to continue their treatment plan once they are discharged from the hospital. They can also ensure the safety of the patient by educating them on their medications. For example, they can teach them what each medication is for, the appropriate times to take each medication, any side effects they may experience, along with the correct dose of the medication they are taking. Safety is not just something that needs to be taken in to consideration while the patient is in the hospital, but once they are home.

Comment 3

A Clinical Nurse Leader (CNL) is expected to have a master’s degree level of education or higher. CNLs play an active role in “designing, implementing and evaluating client care by coordinating, delegating and supervising the care proved by a healthcare team at the clinical level, as opposed to the administrative level, as is the case with other nursing leadership roles” (GNE, 2018, para. 4). CNLs must be competent and knowledgeable as a part of the nursing team. The American Association of Colleges of Nursing (AACN) board acknowledges that the role of the CNL is multi-faceted and their education needs to have components of liberal arts and sciences, professional values, core competencies, core knowledge, and role development (GNE, 2018). CNLs should prepared in quality improvement, interdisciplinary team care, patient-centered care, evidence-based practice and the utilization of informatics (GNE, 2018).  Clinical nurse leadership education focuses on policy and organization, nursing leadership, outcomes management, and care management. After completing a CNL education program, to be CNL certified a registered nurse, must hold a current NR license, hold a master’s degree, complete a minimum of 400 clinical hours within their formal education program, and complete a minimum of 300 clinical hour in a clinical immersion experience in the CNL role (GNE, 2018). CNLs are expected to be educated in advanced nursing knowledge to provide the best care, while improving patient outcomes with the latest innovations in health care.

A CNL can address minority health issues in health care. For example, a CNL overseeing the care of diabetic patients on a hospital unit may notice some discrepancies in outcomes. The CNL works as a leader to evaluate the patients, to see if there is a relationship between ethnicity-related issues and outcomes. The CNL can review the literature to see if this clinical issue has been previously identified within this particular minority patient population. Then, the CNL can develop and implement a plan of care to improve health outcomes for those patients.

Executive Summary

As you begin work on this assignment, review the “Deficit Reduction  Act Section 5001: Hospital Quality Improvement” from page 78 of your Principles of Risk Management and Patient Safety  text. Recall that the Deficit Reduction Act of 2005 “mandated a CMS  policy eliminating reimbursement to hospitals for 10 events on the  National Quality Forum’s list” (p. 70). In 2007, CMS instituted the  Inpatient Prospective Payment System, which required hospitals to report  conditions that were Present on Admission (POA) (p. 70). Diagnoses were  required to be promptly reported on admission, or a presumption of a  hospital acquired condition (HAC) was made and reimbursement was  diminished. In 2008, CMS “stopped payment for cases assigned to the  higher DRG when the condition was acquired during the hospitalization”  (Youngberg, 2011, p. 71). Additionally, patients were not responsible  for payment of HACs. In the current environment, it is imperative that  health care leaders meet the important regulatory requirements of  Conditions of Participation for CMS reimbursement.

As further preparation for this assignment, please review the “never events” list of HACs on page 79 of your Principles of Risk Management and Patient Safety  text. In addition, revisit the risk management issue you selected for  the discussion activity in this unit. You will use this issue as a  starting point for your work on this assignment.

This assignment has two parts: creating an executive summary and writing a related paper that provides additional detail.

For the executive summary, assume you have taken on a new role as the  chief operating officer at a mid-sized community hospital. You are  charged with leading system-wide risk management efforts to identify  risk and minimize HACs. Your organization’s financial viability depends  on receiving proper reimbursement for services delivered. As the chief  operating officer, you must create an executive summary that describes  your organization’s compliance with the regulatory requirement to  promptly identify POAs and proactively assess and manage risk.

Use the Executive Summary Sample Format, available in the Resources, to format your executive summary.

In your executive summary:

1. Briefly describe the risk management issue you selected for the  discussion in this unit and that you are addressing with this executive  summary. Explain why this risk management issue is important to your  organization.
2. List applicable regulatory requirements and explain what they mean to your chosen risk management issue.
3. Construct the associated risk management implications. For example,  HACs result in no reimbursement, poor quality ratings, risk of losing  repeat admissions, risk Joint Commission and MAGNET accreditation or  excellence, or other negative implications.
4. Assess the internal versus external environment relative to the  risks associated with your chosen risk management issue. You may use a  strengths, weaknesses, opportunities, and threats (SWOT) analysis or  other suitable tool; be sure to cite the source.
5. Research and describe any resources or strengths your organization  possesses that could aid in addressing the risk management issue.
6. Briefly describe your organization’s philosophy or culture as it  relates to patient safety and error reporting. How will you encourage  voluntary reporting?
7. Identify metrics for measuring or monitoring the risk management issue.
8. Propose how you will make use of the outcome data toward organizational improvement.
9. Describe any ethical or legal implications related to the handling of this risk management issue.
10. Utilize established and respected sources of information. Some  sources that may be useful to you include: the Federal Register,  statutes, discipline-specific peer-reviewed journals, government agency  references, et cetera.

For the written portion of the assignment:

1. Construct a proactive assessment of your organization’s compliance  with the regulatory requirement to promptly identify POAs and  proactively assess and manage risk based on existing regulations and  requirements.
2. Identify tools and best practices for monitoring parameters and  reducing risk, including organizational structure needed for risk  re-education as supported by the literature.
3. Suggest quality improvement and organization-specific, risk management and learning guidelines.
4. Use an appropriate APA format for clear, concise presentation of information.
5. Communicate information and ideas accurately, utilizing peer-reviewed sources, including proper APA reference citations.
6. Finally, include your Executive Summary table as an appendix to your APA-formatted paper.

Reference

Youngberg, B. J. (2011). Principles of risk management and patient safety. Sudbury, MA: Jones and Bartlett.

Assignment Requirements

• Written communication: Written communication is free from errors that detract from the overall message.
• Length of paper: 3–4 double-spaced pages for the written portion of the assignment.
• Number of resources: A minimum of three resources.
• Font and font size: Arial, 10 point.

Please review the scoring guide for this assignment to learn more  about assignment requirements. Submit the resulting paper in the  assignment area.

Note: Your instructor may also use the Writing  Feedback Tool to provide feedback on your writing. In the tool, click  the linked resources for helpful writing information.

Resources

• Executive Summary Scoring Guide. 
• APA Style and Format.
• Capella Library.
• Capella Writing Center.
• Executive Summary Sample Format.
• How Do I Find Peer-Reviewed Articles?
• Writing Feedback Tool.
• APA Paper Template.
• APA Paper Tutorial.