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Impact Report to Senior Leadership Essay

Impact Report to Senior Leadership

Organizational and Systems Management for Quality Outcomes

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The Nursing Challenge

Hospital readmissions and emergency room visits are on the rise particularly for patients

Impact Report to Senior Leadership Research Paper

The Nursing Challenge
Hospital readmissions and emergency room visits are on the rise particularly for patients with low socioeconomic status, limited resources, or who live in rural areas. Post-operative infections, asthma attacks, heart failure exacerbations and other conditions that could have been prevented seem to be driving this pattern. This has caused a downstream impact on patient safety and poor patient outcomes.
The System/Organization
A major health insurer in the Midwest completed a market analysis across their book of business and discovered a common theme. Patients were being discharged from the hospital without getting the post discharge care they required. In determining the root cause, a gap was discovered in the follow through for discharge planning. Patients would be sent home with instructions from the discharge planner and orders from their physician, but no arrangements had been made for home health care, durable medical equipment or follow-up appointments with their physician.
According to Senge’s five disciplines, the shared vision discipline, defined “This collective discipline establishes a focus on mutual purpose. People learn to nourish a sense of commitment in a group or organization by developing shared images of the future they seek to create, and the principles and guiding practices by which they hope to get there” would be a place to start. (Society for organizational learning) Utilizing the team learning discipline will continue to define the problem by thinking together collectively and coming up with solutions (Society for organizational learning)
This approach to control costs and help ensure positive patient outcomes aligns with their mission “We support the physician/patient relationship and………………………………….
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