ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT

ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT – I need a 12 page paper with 10 academic sources about health insurance companies in Maryland, USA. ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT -Paper must be 12 page not including cover page, appendices, in-text citations, and references. At least 10 references required, you are welcome to do more. It must include an executive summary at the beginning. A brief description of the project, its purpose and your role should be included as background information . A SWOT analysis is required too. ( a similar project will be attached only to help you to see the HEADINGS of the paper ). – I will give more details about the paper when this gets assigned – Also a copy of the presentation style is attached, I need 5 or 6 slides only attachment_1 Internship Project NURSING ROUNDS Executive Summary While doing my patient rounding, I have made several observations; a few nurses are not completing their rounds on their patients. Some Nurses are not completing their board rounds at all, and some of them are recording inconsistently. This could be associated with either a lack of commitment or negligence. To improve the execution of these nursing rounds, I have come up with a new rounding process for nurses to record their round checks. I am implementing an electronic board for the nurse to record their evaluation of the patient during every round. The electronic board will connect to the nurses account when they sign in to start their shift.It will be required for each nurse to record their rounds on their patient every hour on the electronic board. The system will be set to allow the nurse to evaluate their rounds at the scheduled time. The icon will only be active for the current hours of evaluation. After the nurses scheduled time, the evaluation icon will become inactive. The nurse will only be able to record for the current hour. For example, if the time is 2 am they will have until 2:50 am to do their rounding. After 2:50 am the time will become inactive for evaluation. To promote effective use, the system will be equipped with an alarm reminder. The alarm will notify the nurse 15 minutes before the system deactivates to record the round within that hour. The nurse manager can sign into the system to see which nurses are missing their rounds.There will be a slot in the system that is all marked red to start. When the round is complete and recorded, the red mark will turn green. For general evaluation, only the manager will be able to access the final data to know how many rounds each nurse completed, the exact time it was done, and the number of missed rounds. This new rounding process will help the manager evaluate how each nurse on their unit has done on his/her rounds. 1. Introduction Healthcare institutions are thriving to provide quality and efficient patient care. As technology advances in healthcare, it is important for hospitals to improve their quality of care. In order to provide best healthcare services, the institutions should incorporate specialized methods in their healthcare settings. The improvement of quality healthcare services means that safety of the patients should be enhanced. Similarly, the effectiveness of healthcare delivery services should be considered when one wants to improve the quality of care for patients. However, healthcare features are advancing and becoming complex daily. In this way, healthcare institutions require enhanced methods of delivering quality healthcare services.To enhance healthcare service provision, providing a patient-focused kind of health care is essential. Patients go through different challenges hence there should be precise clinical decisions based on the individual patient. Sometimes delay in providing healthcare assistance to the patients is quite detrimental to his or her health. In order to improve, there should be advanced technology to solve this healthcare problem. Equally, efficiency in provision of health services should be considered a priority. However, with the existing research on how to better patient satisfaction and quality care, proactive rounding of nurses is the best solution. Thus, the traditional concept that has no further enhancements like use of manual rounding boards should be replaced with electronic rounding boards (Meyer, 2018). 2. Background Information The proactive rounding of nurses over the years is important in improving the quality of care for patients (Villamin, 2019). However, hospitals like GBMC, which serve at least 20,000 patients a year; 455 inpatients and 52000 emergency cases yearly. It is essential GBMC implements a better way of providing efficient, effective, safe, and equitable healthcare services to its patient population. GBMC should be hiring proactive nurses who ensure all patients will be evaluated equally and on time. The new electronic rounding system will help nurses be proactive and check/ record on their patient’s status. The board will help the hospital to reach its’ mission (Health, Healing, Hope) and will better the healthcare service delivery to its patients. 3. Definition of the Problem Patient rounding is one of the many elements that is important in ensuring there is consistent as well as superior care. Patient satisfaction and experience are better served through patient rounding. Through hourly rounding and the 5Ps of rounding, the patients’ needs and those of healthcare professionals can be improved to a considerable extent. However, this can be achieved by bettering access to timely, quality, and safe provision of care. Rounding in nursing is an important factor that should be prioritized to improve the quality of care. Hourly checking every patient in the hospital everyday by the nurse is the best way to provide excellent care and a positive experience for patients (Villamin, 2019). The frequency of checking patients at night should be less compared to during the day to ensure that patients get proper rest.By nurses completing their rounds, they will feel safer and more secure about the care they are receiving. Nursing rounds ensures the patient that the nurse will come back and check on him or her. Thus, the failure of nurses to complete their rounding on sc heduled time or completely failing will mean that there will lack the best patient experience as well as better care. However, to avoid these, GBMC ICU should come up with ways of developing and maintaining proactive rounding of nurses. ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT 4. Problem Analysis I wanted to implement a process to make it impossible for nurses to fail to complete their rounding on time as scheduled, fail to complete all the assigned rounds, or completely fail to do patient rounding. Similarly, successful hourly rounding at the GBMC ICU has never been that easy even though the hospital has made significant efforts in ensuring that the nurses are properly trained and reducing staff time. In doing so, the hospital has experienced some frustration due to the failure to solve the problem and produce excellent results.First, some nurses might feel that the hourly rounding process was forced upon them which is why they are not serious in completing their rounds. Similarly, other nurses might claim that they don’t feel that sense of ownership of hourly rounding approach. Nurses could be interested in knowing the origin and how effective the hourly rounding process could be in benefiting the patients. Also, some nurses have perceived hourly rounding as an optional task. They consider it a luxury activity that is done when there is time; in one sense, they don’t own the hourly rounding.Secondly, nurses have not been motivated to complete patient rounding; hence they become reluctant in their activities. Motivation is very critical in a situation like this of ensuring that the nurses complete their rounds. However, leaders of the ICU at GBMC should have been motivating the nurses to complete their hourly rounding. On the other leaders, should ensure they lead as examples by performing all the rounding of patients to validate the patient rounding process. The leaders also in the ICU might not have been reviewing rounding logs, making it easy for nurses to underrate the whole nurses’ rounding process.Proactive rounding of nurses from recent studies has shown that there are a lot of benefits to the patients (Huang, 2017). Notably, fall reduction has significantly reduced since, through the rounding of nurses, the patients have had easy access to their items. Bathroom needs by the patients is another cause of falls in hospitals, and this has been solved by hourly rounding. Studies also show that there has been almost 40% call light reduction in hospitals. Because of this change, patient satisfaction has been improved. Nurses face a lot of challenges from being disturbed to increased walking time as a result of more call lights. Similarly, the reduction of pressure ulcers has been greatly associated with proactive rounding. Thus, by bettering the hourly rounding ICU at GBMC will experience positive results. 5. Problem Solution Technological change in every setting is inevitable in the technology-dominated world. Over the years, we have seen the value of technology in need to automate and improve patient care as well as enhancing their experiences. Nurses have recently been ranked as the top-most trusted professionals in the United States by Gallup Poll (Gallup, 2018). Nurses do not have to struggle so much to embrace modern technology in their practice because technology has found its place in nursing profession. Nurses should always maintain and incorporate technology that will better patient care. Proactive rounding of nurses is the key motivating factor.The ICU at GBMC is facing difficulties when it comes to nurse rounding’s. The traditional use of boards to monitor how nurses do their rounding is not effective at all. Nurses still fail to effectively and timely complete their rounding since the boards are not effective in holding them accountable for failing to take their rounding seriously. However, to provide the solution to the problem at hand at GBMC in the ICU, electronic rounding board will be able to solve the problem completely. The effectiveness of the electronic rounding board is quite high when compared to traditional manual rounding boards. The key significant result of employing electronic rounding boards in nursing is the realization of patient safety and quality of care. Manual Rounding Board Electronic Rounding Board 6.1 Importance of Electronic Rounding Boards Rounding is one of the most valuable functions that the hospital should be more concerned with. Thus, there is a need to understand how it is being carried out on an hourly basis (Patel, 2018). However, with the use of electronic boards, patient and nurse satisfaction will be achieved easily. The workflow in the ICU at GBMC will also be streamlined. Thus, below are some of the key benefits of changing from use of pen and paper to use of electronic rounding board. 6.1.1 ConsistencyThe primary purpose of rounding is to consistently check on patients and ask them various questions to determine their current health state. The 5Ps of rounding on rounding scripts are proven healthcare practice questions that seek to ensure that the patient is satisfied with the care being given to them. By using electronic rounding boards, consistency and efficiency is greatly achieved. E-rounding provides suitable scripts with only a few clicks to do the rounding, thereby solving the problem of shuffling through papers and searching for the right files. This opportunity is provided by the electronic board application when spotting nursing rounding trends especially when each nurse asks the same questions. 6.1.2 AccountabilityThrough the use of manual rounding boards, it is not easy to know if the rounding is being done at the agreed time. Also, one cannot know whether the rounds are being carried out as per the agreed schedule. Manual rounding boards do not provide the opportunity to monitor whether the questions on the scripts are those being asked. Similarly, when using manual boards, you cannot know whether the patient health issues have been resolved quickly. Nurses have to prioritize timely resolution of patient health problems. Therefore, use of electronic rounding boards provides accountability during the patient health problem resolution and ensures that patient interaction is extended at a granular level, not only in the ICU but also across the entire hospital. 6.1.3 Data collectionData collection is a significant aspect of nursing rounding which the GBMC needs to prioritize. With that in place, the GBMC hospital will get information concerning all hospital operations, thereby developing initiatives to improve them. Through nurses rounding, the data collected will help the hospital in understanding the experience and satisfaction of patients throughout their stay at the hospital. Trends and insights in the hospital will be identified easily through use of digital rounding tool. E-rounding ensures effective and meaningful achievement of daily occurrences. Therefore, transparency, nurse accountability and best patient experience can be highly enhanced through electronic rounding board. 6.2 MTR® Automated Hourly Rounding MTR® Automated Hourly Rounding is a system that seeks to improve patient safety and satisfaction and advancing patient care by communicating rounding status to caregivers from various locations without interrupting patient care or workflow (Jessica, 2017). 6.3 How the MTR® Automated Hourly Rounding Works Every nurse has to conduct their rounding every hour on the application or electronic system or board. The system will be set to only allow the nurse to evaluate the rounding at the scheduled time. Thereafter, the evaluation icon will become inactive and be active for the subsequent hours of evaluation. That is meant to prevent the nurses form doing their rounding at once and they can only see the current hour. Nurses have only 50 minutes after the start of every hour do their rounding. To promote effective use the e-rounding application, the system will be equipped with an alarm reminder which will notify nurses 15 minutes prior to the next rounding shift. On the system, the nurse on duty will sign into the account and check their scheduled rounding hours (Jessica, 2017).However, the set hours will be marked red, and when the nurse does the rounding, the red will change to green. For general evaluation, only the manager will access the final data to know how many rounds each nurse did, the exact time it was done, and the number of missed rounds. By doing so, the manager will evaluate the effectiveness of nurses during their rounding. ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT The application system ensures that all the patients are assessed based on their individual needs. The application through the use of an alarm system reminds the nurses to carry out their rounding. In so doing, the patient will be evaluated on time. However, the consistency of hourly rounding is kept steady through the use of the MTR system. Whiteboard Showing Hourly Rounding Similarly, nurses can be evaluated directly through the application. MTR system evaluates nurses automatically based on their completed rounding hours. The MTR system also provides rounding-only boards displaying nurses’ assignments and appointments.The end of bed reports is eliminated through the use of the MTR system which will be achieved because every patient visit by the nurse is documented and displayed electronically (Jessica, 2017). Additionaly, the MTR system records information such as the check sheets and paper logs. Digital Patient Room Board Rounding The system displays the rounding success of each nurse which is verifiable during nursing rounding reports. In this way, transparency and accountabilty of nurses is ehanced. The systemcompiles statistics of the whole hospital operationsvital in making decisions and improvements within the GBMC hospital. Rounding Statistics Rounding Report on Room 6 Implementation The implementation process starts with identifying the vendor. The procurement team should contact the vendor of the MTR system and provide honest, detailed, and realistic solutions they want the system to solve. The hospital goals of the new rounding program should set in advance to ensure that the vendor is aware of what is actually required in the hospital. The procurement team will comprise of technical teams who will assist the hospital in communicating the organization’s technical requirements. After the vendor and the hospital reach an agreement, they can go ahead to discuss important details, such as the timeline required for the implementation and the scope of the program. When all is set, there will be a massive awareness of the introduction of new technology (MTR) for nurses, which is meant to ensure the effective and efficient rounding of nurses at GBMC.Also, training of nursing staff at GBMC hospital will ensure effective and thorough comprehension of how the MTR rounding system operates. This will be facilitated by the MTR rounding system experts assisted by the technical team from the hospital. Brochures consisting of MTR system information, guidelines, and user manual will be distributed to all nursing staff at the hospital(Al Danaf, et al., 2018).After that, the technical department will carry out a plenary session whereby there will be an exchange of questions and answers between the nursing and technical staff concerning the launching of MTR® Automated Hourly Rounding System. Here, the nurses will be encouraged to freely point out theoretical issues that they did not understand from the user manual.Notably, a practical session or a pilot test for the new nursing rounding system will be carried out where the nursing staff will understand how the system shall be working. The nursing staff will be able to know how the system will monitor their nursing rounds. For instance, they will be shown what the system displays when maybe a nurse misses their nursing rounds completely, or when they do the rounds past the scheduled time, and when the nurse fails to complete all the assigned rounds. Similarly, the nursing staff will get the skills required to operate the MTR® Automated Hourly Rounding System.However, after the nursing staff has been equipped with skills on how to operate the new rounding system, technical implementation takes effect. The vendor and hospital IT department will then choose the preferred interface the system will use when transferring files. The hospital will then automate the system so that there will be consistent sending of nurse rounding data. Similarly, the vendor will be given access to the hospital’s wireless network. The setting up of the MTR system software will then follow the process. During setting up of the MTR software, the hospital should have purchased new devices like monitors and iPads as required by the vendor. Also, analytic platforms required by the vendor should be already in place (Sang, et al., 2019). GBMC hospital’s management should carry out constant consultation with the vendor and work together as well through the entire process of setting up the system.Equally, the rounding process will begin after the vendor gets all the information about the current rounding programs of the hospital. The hospital leaders will specify certain features of the program to be customized. Similarly, after the vendor has acquired all the information that is required for the technology to be successful, an IT dry run is conducted. The ‘dry run’ will be able to point out whether all the technical elements of the program are working to the expectation. Lastly, the new and improved rounding process begins where everything should work as expected. The vendor will then be kept in touch in case any technical assistance is required from them thereafter. ACPHS HCMN 415 Health Insurance Companies in Maryland USA Research Paper and PPT 7 Evaluation The need for technological advancement in the nursing profession with the aim of improving patient satisfaction and care has been a matter of concern over the years. Recent research shows that over 50% of nursing leaders have found rounding of nurses to be very significant in promoting efficiency and effectiveness in healthcare. In so doing, most hospitals are now trying to employ an electronic rounding board system that will better nurses rounding; thus, enhancing healthcare delivery. However, because digital rounding solutions like MTR system are new to the nursing practice, the management should always know how to evaluate various existing e-rounding tools.First, to ensure that the system is effective in delivering the goals of the hospital, it should have the ability to be integrated with other existing technologies in nursing practice. Some of the important technologies in the practice include Electronic Media Record system and staff roster. Considering the existing pre-populated patient and nursing staff information, the MTR system will have limited capabilities to report patient information as well as an interaction history unless integrated with EMR (Shih, 2018). In that case, before installing any software, the ability of that software to be combined with other necessary technologies should be analyzed. Thus, MTR system should be able to allow integration with other technologies.The MTR program should also allow customization to be done in the system because various organizations have unique hospital operations. In this way, the nursing staff will be able to customize the program to improve its hourly rounding. The MTR program should also allow constant changes to be made on it due to the growing needs of GBMC hospital. Customization of scripts and health systems enables nursing staff to tailor their questions in relation to the hospital’s set goals. Similarly, the MTR system should allow customization in that notifications like texts or emails are only directed towards the intended person on time.Notably, the extent and how the rounding program reports is also another vital thing during evaluation. Reporting is an essential tool in healthcare in providing the right data to the intended person on time. In so doing, the information will be relied on for carrying out immediate recovery of services. The system should be evaluated based on the types of reports available, how they can be accessed, where the reports can be viewed, ability to allow exportation of information, and how the program can be customized to allow push reporting. Similarly, a support team that will solve various problems that may arise concerning the MTR system should be present.Similarly, constant evaluation of the MTR system should be carried out frequently. This can be done by analyzing the overall nurse rounding statistics, which provide much information concerning how the hospital is operating and the quality of care being provided. The effectiveness and efficiency of MTR program should be checked through the analysis of the data collected during rounding. Equally, performance scores of the rounding program on HCAHPS can be used to evaluate the MTR system. However, carrying out a SWOT analysis of the MTR system is also another important method of assessing effectiveness of the system. 8 SWOT Analysis StrengthsThe digital patient room board ensures that the patient is conversant with their treatment plan. The digital room whiteboards have the ability to project all the information about the patient in a systematic way. In so doing, the patients will easily understand their care. Similarly, digital whiteboards in patient’s room encourage the patient to participate in care planning actively (Brosey& March 2015). Active participation in care planning can be achieved through simplified care information on the whiteboards in the patient’s room. Through display of patient’s treatment information, the family and the patient will understand treatment hence assisting them during patient care. WeaknessesMTR program solves the need for staff time to utilize whiteboards since the program has the ability to gather data automatically and display them without interfering with the patient and their care. The patient information displayed is also current. Similarly, the additional duty of nurses needed to go and enter the patient’s report into the hospital’s database with the use of manual boards is significantly reduced. MTR program gathers patient’s information and displays the current data collected. OpportunitiesDigital whiteboards have significantly increased patient satisfaction scores since the rate at which patients are being attended by nurses ensures that they don’t face many challenges like falling. The safety of the patient is also improved by employing the MTR program. The program has the ability to display clearly the patient’s mobility status and fall risk, thereby reinforcing patient safety. Also, the MTR program supports the patient-family centered type of care model through the use of digital boards in the patient’s room. The digital board displays patient status with their treatment plan. In so doing, the patient’s family can be involved in patient care. ThreatsThe MTR program eliminates potential lack of nurse compliance, which might lead to complications like an increase in patient fall rate and pressure ulcers. The new nurses rounding system ensures consistency and accountability during rounding. References Al Danaf, J., Chang, B. H., Shera, M., Johnson, K. M., Miller, S., Nester, L., … &Aboumatar, H. J. (2018). Surfacing and addressing hospitalized patients’ needs: Proactive nurse rounding as a tool. Journal of nursing management , 26 (5), 540-547.Bilstein, Jessica. “Automated Hourly Rounding – Proven Patient Safety and Satisfaction Solutions.” MTR® – The Tools to Improve Patient Safety and Satisfaction , www.managingteamresponse.com/automated_hourly_rounding .Brosey, L. A., & March, K. S. (2015). Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality , 30 (2), 153-159.Huang, K. T., Minahan, J., Brita-Rossi, P., Aylward, P., Katz, J. T., Roy, C., … & Boxer, R. (2017). All together now: impact of a regionalization and bedside rounding initiative on the efficiency and inclusiveness of clinical rounds. Journal of hospital medicine , 12 (3), 150-156.Inc., Gallup. “Nurses Again Outpace Other Professions for Honesty, Ethics.” Gallup.com , 20 Dec. 2018, news.gallup.com/poll/245597/nurses-again-outpace-professions-honesty-ethics.aspx.Meyer, N. (2018). Daily Rounding Tool to Increase ICU Communication and Patient Plan of Care.Patel, J., Jain, A., Raveendran, J., Babu, M., Fairfield, B., Kariyil, R., … &Fallouh, N. (2018). Optimizing Nurse-Physician Communication During Morning Rounds.Sang, A. X., Tisdale, R. L., Nielsen, D., Loica-Mersa, S., Miller, T., Chong, I., & Shieh, L. (2019). How Much Time are Physicians and Nurses Spending Together at the Patient Bedside? Journal of hospital medicine , 14 , E1-E6.Shih, A. F. (2018). Importance of Communication in Medicine: Views on Bedside Rounding and Readmissions.Villamin, C., Anderson, J., Fellman, B., Urbauer, D., &Brassil, K. (2019). Perceptions of Missed Care Across Oncology Nursing Specialty Units. Journal of nursing care quality , 34 (1), 47-53. Presentation slides Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10