NURS FPX 4900 Assessment 2 Quality, Safety, And Cost Considerations

The impact of diabetes on costs is profound, affecting both the healthcare system and the individual. From a systemic perspective, the growing prevalence of diabetes results in increased healthcare expenses, including costs related to medications, physician visits, and emergency care for complications (Adiga et al., 2021). Furthermore, the system must allocate resources for public health campaigns and prevention efforts. At the individual level, the patient may face significant financial burdens. Copayments for medications, medical equipment, regular doctor visits, and specialized care can strain their finances. The costs are not limited to healthcare; they extend to potential productivity losses due to missed workdays, reduced quality of life, and even mental health challenges (Adiga et al., 2021).

Government policies’ Impact on the quality of Care

Nursing Practice Standards

Nursing practice standards set by state boards significantly affect the quality of care and patient safety. These standards define the scope of practice for registered nurses (RNs) and nurse practitioners (NPs), impacting the level of care patients receive. In cases like diabetes, where ongoing management is essential, policies that enable advanced practice nurses to take on a broader role in care delivery can lead to improved outcomes (Herges et al., 2020). Such policies might include allowing NPs to prescribe medications or order specific diagnostic tests, resulting in more timely interventions and safer patient care. By aligning nursing practice with the latest evidence-based guidelines, state boards contribute to a higher quality of care (Herges et al., 2020).

NURS FPX 4900 Assessment 2

Organizational and Governmental Policies

Beyond state boards, broader organizational and governmental policies also play a pivotal role in influencing the impact of chronic health problems on patients and the healthcare system. For instance, reimbursement policies can directly affect the costs incurred by individuals and the healthcare system (Hsun Ming Lee et al., 2021). Policies that incentivize preventive care like the Comprehensive Primary Care Plus (CPC+) model in the United States, promote cost-effective, high-quality care (Hsun Ming Lee et al., 2021). Furthermore, these policies can encourage the integration of healthcare services and promote interdisciplinary care teams.

Nursing Scope of Practice

Policy changes can significantly affect nursing scope of practice. For example, recognizing nurse practitioners as primary care providers in certain states allows for improved access to care, which is vital for patients (Herges et al., 2020). This expansion of nursing scope can positively impact patient safety and quality of care by increasing the availability of healthcare services. It also reduces the costs associated with unnecessary emergency department visits, as patients can receive appropriate care in primary care settings.

Informing and Guiding Interventions

Policy can serve as a foundation for designing and implementing interventions aimed at improving the care of patients with diabetes. Understanding the policy landscape allows healthcare organizations and nursing professionals to identify opportunities for intervention. For example, a healthcare system operating in a state with robust telehealth policies might leverage telemedicine to enhance patient education and remote monitoring for diabetes management. This not only enhances patient safety but also offers cost-effective solutions (Greenlee et al., 2023).

Strategies to Improve the Quality of care, Enhance Patient Safety, and Reduce Cost

One effective strategy to enhance patient care and safety is through comprehensive patient education and self-management programs. For example, a healthcare organization can establish a structured diabetes education program, offering personalized guidance on medication management, diet, exercise, and blood glucose monitoring. By providing clear, evidence-based information and resources, patients are empowered to take control of their health, reduce the risk of complications, and make informed decisions. Benchmark data can be collected through regular assessments of patient knowledge, self-management skills, and health outcomes. Practicum hours can be dedicated to working with patients to identify their education needs and evaluate the effectiveness of educational materials and methods (Hajnalka Požar & Dragana Simin, 2021).

Telehealth and remote monitoring tools can enhance patient safety and reduce healthcare costs. For instance, patients can use mobile apps or devices to monitor their blood glucose levels, and healthcare providers can remotely track this data (Sharma et al., 2022)