NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

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NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

Name

Capella university

NHS-FPX 6004 Health Care Law and Policy

Prof. Name

Date

Dashboard Metrics Evaluation 

This assessment evaluates the dashboard metrics presented in Vila Health activity related to Mercy Medical Center (MMC). MMC is a renowned hospital in Shakopee, Minnesota. The organization is one of the best hospitals in the region, providing high-quality standardized care. It has received several recognitions, such as the premier safe surgery rating, outstanding patient experience, listed as one of the top 20 workplaces in 2020 and 2021, and the Women’s Choice Award for best hospital for emergency care. However, the dashboard metrics related to diabetes screening tests have shown some underperformance. Therefore, this assessment provides an in-depth evaluation of these metrics and presents ethical and sustainable actions to address these underperformances. 

Dashboard Metrics Evaluation Against Benchmarks

The dashboard data provides the number of diabetes screening tests performed in 2019 and 2020, evaluated against the Agency for Healthcare Research and Quality (AHRQ) national and state benchmarks. The data from MMC presents three distinct metrics – eye examination, foot examination, and HBA1c tests. The comparative analysis is presented below (AHRQ, n.d.; Capella University, n.d.). 

  • Eye tests: The organization’s data for eye tests represents 35.5- 41%, whereas the national-level and state-level benchmarks for these tests in diabetic patients are 75.2 and 74.9%, respectively. 
  • Foot examinations: The data from MMC’s dashboard reveals only 40-42% of tests performed. In contrast, the national-level benchmark for foot check is 84%, and the state-level baseline data is 87.7%. 
  • HBA1c tests: The organization conducted only 37- 48% of HBA1c tests, significantly lower than the national benchmark of 79.5% and state-level baseline mark of 70.6%.

NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

The evaluation explicitly shows that Mercy Medical Center is significantly short in all diabetic screening tests, essential to preventing disease-related complications. These benchmarks are set according to the guidelines and standards established by the American Diabetes Association, emphasizing the need to undertake diabetes screening tests. These tests are essential to prevent complications such as diabetes-related blindness, cardiovascular problems (CVD), neurological issues, and deterioration of metabolic functions (US Preventive Services Task Force, 2021).

The organization must address these underperformances to preserve patients’ safety, improve their quality of life, and improve organizational performance. Nonetheless, there are some gaps in knowledge that loom over the evaluation. These include gender-based information about the lack of testing, which is imperative to target the challenges associated with specific individuals. Moreover, we require more data about the causes of underperformance. This information is essential to develop targeted interventions and target individual risk factors.  

Consequences of Underperforming the Benchmarks 

These underperformances have a multifaceted impact on patients’ safety and quality of life, the organization’s efficacy, and interprofessional teams. Diabetes is a chronic healthcare condition, which, if undiagnosed or untreated, may lead to poor consequences for patients’ health outcomes. Since the prevalence of diabetes and its complications is rising, the skyrocketing economic implications influence individuals and the healthcare system, such as increased healthcare costs and augmenting the need for hospital resources (finances, hospital beds, and staffing needs) (Mao et al., 2019). Furthermore, patients may end up with several complicated diseases, such as diabetic retinopathy, neuropathy, CVD, and kidney disorders. Screening underperformance may lead to inaccurate and delayed diagnosis (Peer et al., 2020), risking patients’ safety and impairing quality of life. These poor consequences have abundant implications for healthcare organizations and interprofessional teams.

Since the organization is well-recognized in the region for providing high-quality care, this underperformance is directly proportional to diminished care quality, impacting the organization’s efficacy and patient’s trust in the services (Lewandowski et al., 2021). Interprofessional teams may experience overburdened units due to excessive hospitalizations and extensive care needs. Consequently, increasing job dissatisfaction and expanding staff turnover rate. This analysis assumes that diabetes is a chronic condition, and preventing its complications is essential to reduce the global burden of the disease. Moreover, it is assumed that the catered population has adequate access to healthcare facilities, which includes financial resources. The final assumption is about the awareness of the importance of diabetes screening and the individual’s willingness to comply with established benchmarks and guidelines. 

Evaluation of Feet Examination Benchmark 

The evaluation presented above revealed that all three metrics of diabetes screening tests are short-failing from the established benchmarks. However, this analysis covers feet examination as the metric greatly underperformed (40-42% in MMC and 84-87.7% as established benchmark) and essential screening tests for diabetic patients, which, if unaddressed, may lead to diabetic neuropathy. Diabetic peripheral neuropathy (DPN) is a common impediment of diabetes, which results in foot ulcers, neurological pain, and, in severe cases, leg amputation. It is estimated that around 50% of the diabetic population suffers from DPN of any stage, leading to mortality (Yang et al., 2020). The community MMC serves is significantly impacted by the underperformance of feet examination. Due to the severe complications of unattended foot ulcers, early detection is imperative. This permits timely intervention, preventing the progress of foot disorders to more severe stages that might require invasive procedures or even amputations (Burgess et al., 2021). Preventing such procedures saves additional costs, making resources available for preventive care. 

Simultaneously, addressing this underperformed benchmark provides an excellent opportunity for the organization to improve its operation and for interprofessional teams to provide quality care, enhancing patient outcomes and quality of life. Timely interventions will prevent patient safety, increase patients’ trust in healthcare providers, and improve MMC’s performance dashboards. Similarly, these comprehensive foot examinations will foster interprofessional collaboration, providing holistic patient care and managing diabetic foot health (Szafran et al., 2019). Thus, the institution provides patient-centered, high-quality care, improving organizational performance and maintaining its reputation within the industry. 

Ethical and Sustainable Actions to Address the Underperformed Benchmark

As interprofessional collaboration is imperative, we require a group of stakeholders to be involved to address the underperformance. These include healthcare providers such as physicians and nurses, administrators, and quality monitoring and compliance teams. These stakeholders must combine efforts and direct the organization to achieve desired performance results. Together, they are obliged to deliver top-notch patient care, considering the ethical aspects and sustainability of the plan. These ethical principles include beneficence, non-maleficence, justice, and autonomy (Kelley et al., 2020).

The ethical and sustainable actions that these stakeholders can implement are patient education and telehealth services. Singh et al. (2020) stress the importance of patient education and awareness about self-foot examination in reducing diabetic foot complications. This educational program plans to cover knowledge about self-care behaviors in managing diabetes and its complications, such as home blood glucose monitoring, superficial foot examination, and recognizing the signs of diabetic foot ulcers. Such an approach is ethically grounded in informed decision-making and respecting the patient’s autonomy. These principles require healthcare professionals to provide comprehensive information about patient’s health conditions, giving them the right to make sound decisions.

To ensure its sustainability, it is imperative to keep a check and balance of patient engagement and effective education sessions, the essential responsibility of the quality assurance team. On the other hand, telehealth services are essential to provide consultations to patients with limited healthcare accessibility. These technological mediums provide effective foot services such as comprehensive exams and management of diabetic foot ulcers through real-time video consultations (Graham et al., 2023). This intervention is founded on ethical principles of beneficence and justice as it benefits the community, improving access to services for underserved areas. Making it sustainable through expanding the services for different communities ensures that the organization works on a larger scale, gaining communities’ trust and improving underperformances. 

References

AHRQ. (n.d.). National Healthcare Quality and Disparities Reports (NHQDR). NHQDR Data Tools | AHRQ Data Tools. https://datatools.ahrq.gov/nhqdr?count=2&tab=nhqdrnabe&type=subtab 

Burgess, J., Frank, B., Marshall, A., Khalil, R. S., Ponirakis, G., Petropoulos, I. N., Cuthbertson, D. J., Malik, R. A., & Alam, U. (2021). Early detection of diabetic peripheral neuropathy: A focus on small nerve fibres. Diagnostics11(2), 165. https://doi.org/10.3390/diagnostics11020165 

Capella University. (n.d.). Vila health: Dashboard and health care benchmark evaluation. https://media.capella.edu/CourseMedia/nhs6004element17010/wrapper.asp 

Graham, K., Siatis, C. M., Gunn, K. M., Ong, E., Loughry, C., McMillan, N., & Fitridge, R. (2023). The experiences of health workers using telehealth services for diabetes-related foot complications: A qualitative exploration. Journal of Foot and Ankle Research16(1), 47. https://doi.org/10.1186/s13047-023-00645-9 

Kelley, A. T., Nocon, R. S., & O’Brien, M. J. (2020). Diabetes management in community health centers: A review of policies and programs. Current Diabetes Reports20(2). https://doi.org/10.1007/s11892-020-1289-0 

Lewandowski, R., Goncharuk, A. G., & Cirella, G. T. (2021). Restoring patient trust in healthcare: Medical information impact case study in Poland. BMC Health Services Research21(1), 865. https://doi.org/10.1186/s12913-021-06879-2 

Mao, W., Yip, C.-M. W., & Chen, W. (2019). Complications of Diabetes in China: Health system and economic implications. BMC Public Health19(1), 269. https://doi.org/10.1186/s12889-019-6569-8 

NHS FPX 6004 Assessment 1 Dashboard Metrics Evaluation

Peer, N., Balakrishna, Y., & Durao, S. (2020). Screening for type 2 diabetes mellitus. The Cochrane Database of Systematic Reviews2020(5), CD005266. https://doi.org/10.1002/14651858.CD005266.pub2 

Singh, S., Jajoo, S., Shukla, S., & Acharya, S. (2020). Educating patients of diabetes mellitus for diabetic foot care. Journal of Family Medicine and Primary Care9(1), 367–373. https://doi.org/10.4103/jfmpc.jfmpc_861_19 

Szafran, O., Kennett, S. L., Bell, N. R., & Torti, J. M. I. (2019). Interprofessional collaboration in diabetes care: Perceptions of family physicians practicing in or not in a primary health care team. BMC Family Practice20(1), 44. https://doi.org/10.1186/s12875-019-0932-9 

US Preventive Services Task Force. (2021). Screening for prediabetes and type 2 diabetes: US Preventive Services Task Force Recommendation Statement. JAMA326(8), 736–743. https://doi.org/10.1001/jama.2021.12531 

Yang, H., Sloan, G., Ye, Y., Wang, S., Duan, B., Tesfaye, S., & Gao, L. (2020). New perspective in diabetic neuropathy: From the periphery to the brain, a call for early detection, and precision medicine. Frontiers in Endocrinology10https://www.frontiersin.org/articles/10.3389/fendo.2019.00929 



 

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