NURS FPX 6612 Triple Aim Outcome Measures Presentation Example

NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Presentation

Assignment Brief: NURS FPX 6612 Triple Aim Outcome Measures Presentation

Course: NURS-FPX6612 Health Care Models Used in Care Coordination

Assignment Title: NURS FPX 6612 Assessment 1 Triple Aim Outcome Measures Presentation

Assignment Overview

In this assignment, you will develop a presentation consisting of 10–15 slides focusing on the Institute for Healthcare Improvement’s Triple Aim framework. Your presentation will explore how current and emerging healthcare models support the Triple Aim and how governmental regulatory initiatives and outcome measures can be utilized in the care coordination process to achieve the Triple Aim within a population.

Understanding Assignment Objectives

The purpose of this assignment is to demonstrate your understanding of the Triple Aim framework and its significance in improving population health, enhancing patient experience, and reducing healthcare costs. Additionally, you will analyze various healthcare models, explain their evolution and impact on healthcare quality, and describe governmental regulatory initiatives and outcome measures relevant to care coordination.

The Student’s Role

As a new case manager at Sacred Heart Hospital, your role is to deliver an evidence-based presentation to hospital leaders and clinical leadership teams. Your presentation will focus on modifying the care coordination process at Sacred Heart to achieve the Triple Aim within the hospital’s rural population.

You Can Also Check Other Related Assessments for the NURS-FPX6612 Health Care Models Used in Care Coordination Course:

NURS FPX 6612 Assessment 2 Quality Improvement Proposal Example

NURS FPX 6612 Assessment 3 Patient Discharge Care Planning Example

NURS FPX 6612 Assessment 4 Cost Savings Analysis Example

NURS FPX 6612 Triple Aim Outcome Measures Presentation Example

Title Slide

• Title: Enhancing Care Coordination at Sacred Heart Hospital: Achieving Triple Aim Outcomes
• Presenter: Roseann Kimbrell
• Date: April 14, 2024

Speaker Notes:

• Good morning/afternoon, everyone. My name is Roseann Kimbrell, and I’ll be guiding you through our presentation today.
• Today’s presentation focuses on enhancing care coordination at Sacred Heart Hospital to achieve Triple Aim outcomes.
• We’ll delve into strategies to align our practices with the Triple Aim objectives, understand and compare healthcare models supporting Triple Aim, and discuss specific recommendations for improvement.

Purpose Slide

• Purpose: To inform Sacred Heart Hospital leadership about enhancing care coordination to achieve Triple Aim outcomes in the rural population served by the hospital.
• Align practices with Triple Aim objectives.
• Understand and compare healthcare models supporting Triple Aim.
• Focus on Patient-Centered Medical Home (PCMH) and Transitional Care models.

Speaker Notes:

• Our purpose today is clear: we want to ensure that Sacred Heart Hospital is on track to achieve the Triple Aim objectives within our rural community.
• To do this, we need to align our practices with the Triple Aim goals, understand how various healthcare models support these objectives, and focus on implementing strategies that will enhance care coordination.
• Throughout this presentation, we’ll primarily examine the Patient-Centered Medical Home (PCMH) and Transitional Care models as key approaches to achieving Triple Aim outcomes.

Definition of Triple Aim Outcome Measures Slide

• The Triple Aim: Simultaneously improving population health, enhancing patient care experience, and reducing per capita healthcare costs.
• Importance of efficient care coordination in achieving Triple Aim objectives.

Speaker Notes:

• Let’s start by defining what we mean by the Triple Aim. It’s a concept developed by the Institute for Healthcare Improvement (IHI) that focuses on three key objectives: improving population health, enhancing the patient care experience, and reducing per capita healthcare costs.
• Efficient care coordination is essential in achieving these objectives. It ensures that patients receive timely, appropriate care and that resources are used efficiently to improve health outcomes while minimizing costs.

Experience of Care/Patient Satisfaction Slide

• Patient experience crucial for adherence to treatment, care engagement, and health outcomes ((Kangovi et al., 2020).
• Improving communication, minimizing waiting times, and engaging patients in treatment plans enhance satisfaction.
• Better patient experience leads to improved health outcomes and compliance with treatment plans.

Speaker Notes:

• Patient satisfaction is not just a matter of convenience; it’s directly linked to health outcomes. When patients are satisfied with their care experience, they’re more likely to adhere to treatment plans, engage in their care, and ultimately achieve better health outcomes.
• Strategies such as improving communication, minimizing waiting times, and involving patients in their treatment plans can significantly enhance satisfaction levels and, consequently, health outcomes.

Improving Population or Community Health Slide

• Addressing community health needs by evaluating population data and formulating plans.
• Care coordination identifies high-risk patients and ensures appropriate care.
• Collaborate with community partners to address social determinants of health and execute preventive measures.

Speaker Notes:

• Improving community health requires a proactive approach that goes beyond individual patient care. It involves evaluating population data to identify trends, disparities, and unmet needs within the community.
• Care coordination plays a vital role in this process by identifying high-risk patients and ensuring they receive appropriate care to prevent adverse health outcomes.
• Collaborating with community partners to address social determinants of health and implementing preventive measures like immunizations and health screenings can further improve population health outcomes.

Decreasing Per Capita Costs Slide

• Goal: Decrease healthcare costs by improving care quality and minimizing waste.
• Efficient care coordination reduces hospital stays, unnecessary procedures, and readmissions.
• Addressing social determinants of health and promoting preventive care decrease healthcare costs.

Speaker Notes:

• One of the Triple Aim objectives is to reduce per capita healthcare costs, and efficient care coordination is key to achieving this goal.
• By improving care quality and minimizing waste, we can reduce unnecessary healthcare spending. This includes avoiding unnecessary hospital stays, procedures, and readmissions.
• Additionally, addressing social determinants of health and promoting preventive care can lead to significant cost savings by preventing the onset of costly chronic conditions and reducing the need for expensive treatments.

Analyzing Relationships Between Health Models and Triple Aim Slide

• Patient-Centered Medical Home (PCMH):
  • Philosophy: Comprehensive, coordinated, and patient-centered care.
  • Evolution: Incorporation of technology, patient engagement tools, and quality metrics.
  • Enhancements: Reduced hospital readmissions, improved chronic disease management, and patient/provider satisfaction.
• Transitional Care:
  • Philosophy: Support during care transitions to prevent adverse events.
  • Evolution: Incorporation of technology like telehealth for better communication.
  • Enhancements: Reduced readmissions, medication errors, and healthcare costs; improved patient satisfaction.

Speaker Notes:

• Let’s examine how two key healthcare models, the Patient-Centered Medical Home (PCMH) and Transitional Care, support the Triple Aim objectives.
• The PCMH model emphasizes comprehensive, coordinated, and patient-centered care. Over time, it has evolved to incorporate technology and patient engagement tools, leading to improvements in outcomes such as reduced hospital readmissions and better chronic disease management.
• Transitional Care, on the other hand, focuses on supporting patients during care transitions to prevent adverse events like readmissions and medication errors. Its evolution has involved incorporating telehealth technology for better communication, resulting in reduced healthcare costs and improved patient satisfaction.

Structure of Health Care Models Slide

• Patient-Centered Medical Home (PCMH):
  • Relies on electronic health records (EHRs) for real-time data access (McNabney et al., 2022).
  • Emphasizes evidence-based guidelines for quality care (Kaufman et al., 2018).
  • Utilizes interdisciplinary teams for comprehensive care delivery.
• Transitional Care:
  • Utilizes transitional care teams for coordination (Shahsavari et al., 2019).
  • Relies on evidence-based interventions during transitions (Fønss Rasmussen et al., 2021).
  • Incorporates technology like telehealth for enhanced communication.

Speaker Notes:

• Now, let’s delve into the structure of these healthcare models and how they contribute to gathering and evaluating evidence-based data.
• The PCMH model relies on electronic health records (EHRs) to provide real-time access to patient data, ensuring that healthcare providers have the information they need to make informed decisions.
• Additionally, the model emphasizes the use of evidence-based guidelines to ensure the delivery of high-quality care and employs interdisciplinary teams to provide comprehensive care to patients.
• Similarly, Transitional Care utilizes transitional care teams and evidence-based interventions to coordinate care during transitions, with a focus on leveraging technology like telehealth to enhance communication and ensure continuity of care.

Evidence-based Data Shaping Care Coordination Process Slide

• Care coordination relies on evidence-based data to identify patient needs and barriers to care (Kangovi et al., 2020).
• Data inform the development of care plans tailored to each patient’s unique needs.
• Use of evidence-based data promotes continuity of care and reduces medical errors.

Speaker Notes:

• The practice of care coordination in nursing heavily relies on evidence-based data to inform decision-making and improve patient outcomes.
• By using data, healthcare providers can identify patient needs, such as chronic conditions and social determinants of health, and develop care plans tailored to each patient’s unique needs and preferences.
• Additionally, evidence-based data promote continuity of care by ensuring that all healthcare providers have access to the same patient information, reducing the risk of medical errors and improving patient outcomes.

Governmental Regulatory Initiatives Slide

• Medicare Shared Savings Program (MSSP):
  • Incentivizes care coordination and quality improvement ((Bravo et al., 2022).
  • Encourages collaboration among healthcare providers.
• Hospital Readmissions Reduction Program (HRRP):
  • Penalizes hospitals with higher-than-expected readmission rates.
  • Encourages effective care coordination to reduce readmissions.

Speaker Notes:

• Governmental regulatory initiatives play a significant role in shaping the healthcare landscape and promoting care coordination.
• The Medicare Shared Savings Program (MSSP) incentivizes care coordination and quality improvement by rewarding healthcare providers who achieve cost savings while maintaining or improving quality.
• Similarly, the Hospital Readmissions Reduction Program (HRRP) penalizes hospitals with higher-than-expected readmission rates, encouraging effective care coordination to reduce readmissions and improve patient outcomes.

Process Improvement Recommendations to Stakeholders Slide

• Stakeholders:
  • Hospital administration, healthcare providers, patients, caregivers, and representatives from Vila Health.
• Anticipated Needs and Concerns:
  • Understanding the necessity of updating care coordination processes.
  • Impact of changes on workflow and resources.
• Response to Questions and Objections:
  • Assure stakeholders of minimal resource requirements and support for implementation.
  • Emphasize the importance of aligning practices with Triple Aim objectives.

Speaker Notes:

• As we move forward with improving our care coordination processes, it’s essential to engage stakeholders and address their needs and concerns.
• Stakeholders include hospital administration, healthcare providers, patients, caregivers, and representatives from Vila Health, all of whom play a crucial role in the success of our initiatives.
• We anticipate questions regarding the necessity of updating care coordination processes and concerns about the impact of changes on workflow and resources.
• In response, we will assure stakeholders of the minimal resource requirements for implementation and provide support to facilitate the transition. We’ll emphasize the importance of aligning our practices with the Triple Aim objectives to achieve better patient outcomes and enhance community health.

References Slide

Bravo, F., Levi, R., Perakis, G., & Romero, G. (2022). Care coordination for healthcare referrals under a shared‐savings program. Production and Operations Management. https://doi.org/10.1111/poms.13830

Fønss Rasmussen, L., Grode, L. B., Lange, J., Barat, I., & Gregersen, M. (2021). Impact of transitional care interventions on hospital readmissions in older medical patients: A systematic review. BMJ Open, 11(1), e040057. https://doi.org/10.1136/bmjopen-2020-040057

Kangovi, S., Mitra, N., Grande, D., Long, J. A., & Asch, D. A. (2020). Evidence-based community health worker program addresses unmet social needs and generates positive return on investment. Health Affairs, 39(2), 207–213. https://doi.org/10.1377/hlthaff.2019.00981

Kaufman, B. G., Spivack, B. S., Stearns, S. C., Song, P. H., O’Brien, E. C., & Kansagara, D. (2018). Impact of patient-centered medical homes on healthcare utilization. American journal of managed care, 24(5), 237-243.

M., S., & Chacko, A. M. (2021, January 1). 2 – Interoperability issues in EHR systems: Research directions (K. C. Lee, S. S. Roy, P. Samui, & V. Kumar, Eds.). ScienceDirect; Academic Press. https://www.sciencedirect.com/science/article/pii/B9780128193143000021

McNabney, M. K., Green, A. R., Burke, M., Le, S. T., Butler, D., Chun, A. K., Elliott, D. P., Fulton, A. T., Hyer, K., Setters, B., & Shega, J. W. (2022). Complexities of care: Common components of models of care in geriatrics. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.17811

Ruediger, M., Kupfer, M., & Leiby, B. E. (2019). Decreasing re-hospitalizations and emergency department visits in persons with recent spinal cord injuries using a specialized medical home. The Journal of Spinal Cord Medicine, 44(2), 221–228. https://doi.org/10.1080/10790268.2019.1671075

Shahsavari, H., Zarei, M., & Aliheydari Mamaghani, J. (2019). Transitional care: Concept analysis using Rodgers’ evolutionary approach. International Journal of Nursing Studies, 99, 103387. https://doi.org/10.1016/j.ijnurstu.2019.103387

Detailed Assessment Instructions for the NURS FPX 6612 Triple Aim Outcome Measures Presentation Assignment

Description

Assessment 1 Instructions: Triple Aim Outcome Measures Presentation Assignment

• Triple Aim Outcome Measures
  • Overview: 
  • Develop a presentation, containing 10–15 slides, on the Institute for Healthcare Improvement’s Triple Aim, how current and emerging health care models support the Triple Aim, and how governmental regulatory initiatives and outcome measures can be applied in the care coordination process to achieve the Triple Aim in a population.
    The Triple Aim is a framework by the Institute for Healthcare Improvement (n.d.) for “simultaneously improving the health of the population, enhancing the experience and outcomes of the patient, and reducing per capita cost of care for the benefit of communities.” Care coordinators must have a model and framework to guide their practice and enable them to achieve the Triple Aim. Presently, many rural hospitals are using archaic models that must be updated to achieve the Triple Aim. For example, the patient-centered medical home model has been around for 30 years, but it has evolved during that time.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs. 
    • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level.
    • Analyze the relationships between various current and emerging health care models and the ways in which they support the Triple Aim.
    • Explain how the structure of particular health care models contributes to the process of gathering and evaluating the quality of evidence-based data.
    • Describe governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Competency 2: Explain the relationship between care coordination and evidence-based data. 
    • Explain how evidence-based data shapes the care coordination process in nursing.
  • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards. 
    • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Support main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
  • Reference
    Institute for Healthcare Improvement. (n.d.). Triple Aim for populations. Retrieved from http://www.ihi.org/Topics/TripleAim/Pages/default.aspx
    Competency Map
• Models of Care
  National initiatives focus on health care organizations to continuously improve the quality, safety, and coordination of care. In response to these initiatives, health care models have surfaced with the goal to guide national health safety and quality improvement efforts.
• Nursing is an art and science with a foundation that embraces evidence, research, and quality. The thought “we have always done it this way” has long been discarded and replaced by standards based on evidence-based research. As the specialization of care coordination has evolved, care coordination has proven to be a vital element that links patients and families to safer and higher quality care. One care coordination model, the patient-centered medical home (PCMH), has gained momentum and support from governmental and regulatory agencies.
• • Institute for Healthcare Improvement. (n.d.). Retrieved from http://www.ihi.org/Pages/default.aspx
  • Effective Presentations
    The following resources will help you create and deliver more effective presentations.
  • SoNHS Professional Presentation Guidelines [PPTX].
  • PowerPoint Presentations. 
    • This Capella library guide has links to resources on PowerPoint and other presentation software.
  • Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design. 
    • This multi-part video is a primer on presentation design.
  • Writing Resources
    You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions.
  • APA Module.
  • Academic Honesty & APA Style and Formatting.
  • APA Style Paper Tutorial [DOCX].
  • Capella Resources
  • ePortfolio. 
    • This resource provides information about ePortfolio, including how to use the different features of the product.
  • Online ePortfolio Guidelines [PDF].
  • Research Resources
    You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6612: Emerging Health Care Models and Care Coordination Library Guide can help direct your research. The Supplemental Resources and Research Resources, both linked from the navigation menu in your courseroom, provide additional resources to help support you.
    As you review these resources, you may want to consider the following questions:
  • What is the Triple Aim, and what does it seek to accomplish?
  • How have health care models laid the foundation for care management structures?
  • How do various models influence organizational health care and system performance?
  • Imagine that you are a care coordinator at an urban teaching hospital. The patients that are served at your health care organization are ethnically, culturally, and linguistically diverse. Based on these facts, what care coordination model is best suited to guide your practice as a nurse?
  • What is the purpose and philosophy of the patient-centered medical home (PCMH) model? 
    • How does its structure contribute to the process of gathering evidence-based data?
    • How is health care quality enhanced through the PCMH model?
• Asssessment InstructionsPreparation
  In this assessment, you will assume the role of a new case manager at a small rural hospital, Sacred Heart. You have been asked to deliver an evidence-based presentation to hospital leaders and clinical leadership teams about the ways in which the care coordination process at Sacred Heart can be modified to achieve the Triple Aim within the hospital’s rural population. 
  To gain a better understanding of current health care models and their support for the Triple Aim, examine and compare such models as:
  • Patient-centered medical home (PCMH).
  • Transitional care.
  • Patient self-management.
  • Guided care.
  • Care coordination (Institute for Healthcare Improvement).
  • Then, finish gathering the information needed to prepare for your presentation by completing the following simulation exercise:
  • Vila Health: Triple Aim Outcomes.
  • Note:Remember that you can submit all or a portion of your presentation to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Presentation Software
    You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with faculty to avoid potential file compatibility issues.
    You are encouraged to review the various presentation resources provided for this assessment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
    Requirements
    Develop a presentation of specific suggestions for improving the care coordination process at Sacred Heart Hospital to achieve Triple Aim outcomes.
    Developing the Presentation
    The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses each point, at a minimum. You may also want to read the Triple Aim Outcome Measures Scoring Guide to better understand how each criterion will be assessed.
  • Explain how the Triple Aim contributes to population health, improves the patient care experience, and reduces health care costs on a regional, state, and national level. You will do this on slides with these specific headings:
    • Experience of Care/Patient Satisfaction.
    • Improving Population or Community Health.
    • Decreasing Per Capita Costs.
  • Analyze the relationships between various current and emerging health care models you have chosen to examine and the ways in which they support the Triple Aim by answering these guiding questions:
    • How do I define the rationale and philosophy of these health care models?
    • Can I explain how these health care models have evolved? How do I believe that these health care models have changed over time?
    • Can I cite at least three ways in which health care quality is enhanced through these models? In which three ways do I believe that these models most enhance health care quality? (Cite references to support your assertion.)
  • Explain how the structure of these models contribute to the process of gathering and evaluating the quality of evidence-based data.
  • Explain how evidence-based data shapes the care coordination process in nursing.
  • Describe three governmental regulatory initiatives and outcome measures that can be applied in the care coordination process to achieve the Triple Aim within a population.
  • Present process improvement recommendations to a stakeholder group clearly and concisely.
    • Address the anticipated needs and concerns of your audience.
    • What questions or objections are they likely to raise? How will you respond?
  • Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using current APA style.
    • Is your supporting evidence clear and explicit?
    • How or why does particular evidence support a claim?
    • Will your audience see the connection?
  • Additional Requirements
    PRESENTATION FORMAT AND LENGTH
    Your slide deck should consist of 10–15 slides that address the presentation criteria,not includingthe title slide, purpose slide, and references slide.
  • Begin your presentation with the following slides:
    • Title.
    • Purpose (the reasons for the presentation).
    • Definition of the Triple Aim outcome measures.
  • Use the speaker’s notes section of each slide to develop your talking points and cite your sources, as appropriate.
  • SUPPORTING EVIDENCE
  • Cite 3–5 sources of credible scholarly or professional evidence to support your presentation.
  • List your sources on the references slide at the end of your presentation.
  • Apply APA formatting to all in-text citations and references.
  • Portfolio Prompt: You may choose to save your presentation to your ePortfolio.

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