NURS FPX 8006 Assessment 2 Apply System Thinking to Support and Produce Quality, Efficiency, and Cost -Effective Outcomes
Student name
Capella University
NURS- FPX8006
Professor Name
Submission Date
NURS FPX 8006 Assessment 2 Apply System Thinking
Slide 1
Hi everyone! Hi my name is Emily j. and for this presentation I will be discussing the use of systems thinking and the general systems theory (GST) for a solution to the problem of heart failure patients being readmitted.
Slide 2
Systems thinking is a way of thinking that enables us to deal with complex healthcare problems. The universal principles that are examined in the GST apply to complex configurations of interrelated components, called a system, or ‘whole’. The holistic view delves into the interrelated nature of the skills of the workforce, the assessment process, and the availability of resources. Systems thinking, in the hands of the healthcare workers, will lead to measurable objectives. Knowledge of the complex networks can enable healthcare leaders to start interventions supported by research.
Provider Perspectives on Quality and Outcome Management
Slide 3
A multidisciplinary approach would be needed for the management of heart failure; all providers would contribute their expertise. Typically, the team will consist of nurse practitioners, cardiologists, pharmacists, and social workers. Nurse practitioners deliver the care needed and manage the transition care and education. The benefits of systematic coordination of clinical interventions (in terms of patient outcomes) are greater in healthcare organisations. Cardiology provides medical therapy with the support of guidelines, and pharmacists reconcile medicines. Social workers and case managers work with social determinants of health and understand and remove all barriers that are not medical.
Team Negotiation for Collaborative System Development
Slide 4
In case the team system approach is used and every team member is familiarized with how to use GST, then the roles to be shared among team members must be negotiated to avoid heart failure readmission. Establishment of consensus and the shared responsibility system on clinical procedures with evidence provides uniformity in patient-handling. Communication among the various interdisciplinary teams should be held, and expectations about information sharing discussed, such as the timeliness of patient information. Organized communication is a prerequisite for effective working together since all healthcare providers have to be coordinated. Teams that have established agreements have also been found to experience less fragmentation in the delivery of services and a higher quality of care ( Resource allocation also needs to be negotiated by the teams, to ensure that patient caseloads are equally distributed amongst team members and support resources are available.).
Collaborative System Support Across the Care Continuum
Slide 5
The healthcare system staff can use general system theory to enhance the outcomes of the care continuum by adding clinical interventions. Interprofessional working is recommended in nurse-led clinics for dealing with social determinants of health; in cardiologists attending to the optimisation of guideline-based therapy; in pharmacists for medication reconciliation; and social workers for addressing barriers. This new system will result in more complete medication reconciliation at transitions, identify symptoms of decompensation early, and provide prompt intervention to enhance long-term outcomes of HF. Changes in this new system will enhance the long-term outcomes of HF by increasing medication reconciliation in the transition, earlier recognition of decompensatory symptoms, and prompt intervention. Or systems of formal communication, by which information may be shared in real time between the providers. One of the research results is that systematic collaboration can be helpful for medication compliance, decrease preventable readmissions, and improve the patients’ self-management skills. With the GST approach, healthcare practitioners are placed in the driver’s seat of the accountability steps leading to ambulatory follow-up, where continuity and optimal patient outcomes are maximized through pre-discharge planning.
Process Improvements for Enhanced Efficiency
Slide 6
The joint system based on the GST approach makes better use of the available resources, as it is streamlined, focusing solely on the goal of reducing unnecessary re-hospitalization of HF patients. Medication reconciliation, completion of patient education, and follow-up appointments are accomplished by the use of pre-discharge checklists. Automated communication systems can be used to support the exchange of information, if necessary. There are seven-day early post-discharge protocols available, which are based on evidence. Multiple coordination of services through central case management; Limited/fragmentation of services is negligible and is not a problem; There is increased resource utilisation.
Cost Management and Long-Term Return on Investment
Slide 7
All investments in healthcare need to be carefully judged in terms of spending in the short term and investment gains in the long term, in terms of administration and patients’ outcomes. In the United States, there were one million admissions due to heart failure with a cost amounting to USD 3,49 billion annually (Bilicki & Reeves, 2024). In 2 years, the costs of implementing this technology are more than likely to be recouped, as the savings in the healthcare system for each heart failure admission from $10,737 to $17,830 will be ongoing, and benefits will be achieved through health system efficiencies and the reduction of the disease burden to society.
Conclusion
Slide 8
The heart failure readmission care process is very complex and multidisciplinary, making systems thinking and general systems theory an innovative way to care for heart failure readmissions. Throughout the care process, evidence-based interventions, provider expertise, and a continuum of service are integrated, and healthcare institutions are able to see measurable benefits. The benefits gained in the long term are great, in terms of reducing readmissions and improving operational efficiencies. Ultimately, the approach builds institutional capability and delivers value-added quality and patient care, which is advantageous for health systems and their communities.
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FAQs
What is systems thinking in nursing?
Systems thinking is a process that involves determining the effect of interrelated components in the delivery of care within healthcare organizations.
Why is systems thinking critical in healthcare?
This type of thinking enables health practitioners to understand the underlying causes, foster collaboration, and find sustainable ways of solving complex healthcare issues.
What are some examples of systems thinking in healthcare?
Some examples include reducing hospital readmissions, improving patient safety programs, communication processes, and care coordination processes.
How can systems thinking benefit patients?
Through this process, it is possible to solve underlying problems within a system as opposed to individual incidents.