Nurs Fpx 8006 Assessment 2 - Topmycourse.pdf

THis is capella DNP assessment of class 8006

1. Nurs Fpx 8006 Assessment 2 – Quality and
Cost-Effective Outcomes
Student Name
Capella University
NURS-FPX8006
Professor Name
Submission Date







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2. Apply System Thinking to Support Quality, Efficiency, and
Cost-Effective Outcomes
Slide 1
Hello, my name is ——–, and today I will present how healthcare organizations can reduce
avoidable hospital readmissions through a patient-centered care coordination model. I propose
using General Systems Theory (GST) as the foundation, which emphasizes how interrelated
components within healthcare systems—nurses, physicians, social workers, care managers, and
community partners—must function cohesively. By aligning these subsystems, we can
strengthen discharge planning, follow-up care, and patient education to improve safety, reduce
costs, and enhance overall outcomes.
Slide 2 – Introduction
Hospital readmissions remain one of the most persistent healthcare challenges, leading to poor
patient outcomes and billions in unnecessary costs. The Agency for Healthcare Research and
Quality (AHRQ, 2023) reports that nearly 3.8 million adult hospital readmissions occur each
year in the U.S., costing an estimated $52.4 billion. Preventable readmissions often stem from
fragmented communication, inadequate discharge planning, medication mismanagement, and
lack of follow-up care.
General Systems Theory underscores that hospitals operate as dynamic, interconnected systems
where gaps in one area—such as discharge education—create ripple effects across the continuum
of care (Weiss & Tappen, 2022). Preventing readmissions, therefore, requires coordinated
interactions among multiple stakeholders, promoting adaptability and shared accountability.
Slide 3 – Quality & Outcome Management: Provider
Perspectives
Each healthcare role interprets quality and outcomes uniquely.
• Nurses serve as patient advocates, ensuring discharge instructions are clear,
understandable, and culturally sensitive.
• Physicians focus on optimizing treatment regimens and preventing complications. A
study by Lopez et al. (2021) found that physician-led transitional care planning lowered
readmission rates by 19%.
• Pharmacists conduct medication reconciliation to prevent adverse drug events, a leading
cause of readmissions.
• Social Workers and Case Managers address social determinants of health, such as
access to transportation and food security.
• Primary Care Providers ensure timely post-discharge follow-ups, bridging hospital-to-
home transitions.

3. When aligned, these perspectives enhance safety, reduce unnecessary rehospitalizations, and
improve long-term health outcomes (Miller & Hart, 2022).
Slide 4 – Negotiating a Collaborative System Approach
A collaborative system thrives on clear role negotiation, open communication, and shared goals.
• Nurses and pharmacists collaborate to ensure medication adherence.
• Physicians and case managers align discharge plans with patient needs and available
community resources.
• Social workers engage family members to reinforce self-care practices.
Research by Tran et al. (2022) showed that interprofessional collaboration reduced preventable
readmissions by 25%. GST emphasizes adaptability—when care gaps arise, the system adjusts
through feedback mechanisms such as case conferences and discharge audits. Family
engagement further strengthens trust and continuity of care (Nguyen & Patel, 2021).
Slide 5 – Supporting Outcomes Across the Continuum of
Care
Sustainable solutions extend beyond hospitalization into community and home settings.
• Discharge nurses provide structured education and written care plans.
• Home health nurses reinforce treatment adherence and monitor warning signs.
• Primary care providers schedule follow-up visits within 7–10 days post-discharge.
• Community health workers assist with chronic disease management and resource
navigation.
A longitudinal study by Johnson et al. (2022) found that structured transitional-care programs
reduced 30-day readmissions by 23%. Embedding patient-centered strategies into every stage of
the continuum safeguards outcomes while lowering costs.
Slide 6 – Efficiency & Process Improvement
Efficiency is achieved by eliminating redundancies and integrating technology.
• Electronic health records (EHRs) streamline communication between hospital and
community providers.
• Telehealth follow-ups allow remote patient monitoring and reduce unnecessary ER
visits.
• Standardized discharge checklists minimize missed instructions.
• Predictive analytics identify high-risk patients for targeted interventions.

4. A systematic review by Osei & Carter (2021) demonstrated that standardized discharge protocols
improved efficiency while cutting readmission rates by 30%. Process improvement initiatives
ensure resources are used wisely without compromising care quality.
Slide 7 – Cost Management & Return on Investment
Preventing readmissions translates into significant financial savings.
• Reduced emergency visits and inpatient stays lower direct healthcare costs (Hernandez et
al., 2022).
• Improved medication reconciliation decreases adverse drug event expenses.
• Enhanced discharge planning reduces avoidable penalties under Medicare’s Hospital
Readmission Reduction Program.
The Centers for Medicare & Medicaid Services (CMS, 2023) estimates that hospitals save nearly
$15 billion annually by implementing targeted readmission-prevention strategies. These savings
can be reinvested into workforce development, community partnerships, and technology
upgrades for sustainable improvement.
Slide 8 – Conclusion
By applying General Systems Theory, healthcare organizations can integrate providers,
patients, and community resources to reduce avoidable hospital readmissions. A team-based,
systems-thinking approach strengthens discharge planning, medication safety, and post-discharge
support. The result is improved patient outcomes, enhanced efficiency, and measurable cost
savings. Preventing readmissions is not only a matter of patient safety—it is a critical step
toward long-term organizational resilience and healthcare sustainability.
Step-By-Step Instructions To Write NURS FPX 8006
Assessment 2
Step 1: Select a Systems Theory
Choose a foundation such as General Systems Theory, Socio-Technical Systems Theory, or
Complex Adaptive Systems.
Step 2: Structure Your Slides
• Title Slide
• Introduction
• Provider Perspectives
• Collaborative Negotiation
• Continuum of Care Outcomes
• Efficiency & Process Improvement
• Cost Management & ROI

5. • Conclusion
• References
Step 3: Address Key Points
• Show provider-specific perspectives on outcomes.
• Explain collaborative negotiation in preventing readmissions.
• Demonstrate how outcomes extend across the continuum of care.
• Highlight efficiency and cost savings with evidence.
Step 4: Record Voiceover
Keep it 3–5 minutes, clear, and professional.
Step 5: Submit
Ensure APA formatting, clear visuals, and embedded audio before uploading
References for NURS FPX 8006 Assessment 2
Agency for Healthcare Research and Quality. (2023). Hospital readmissions data and statistics.
https://www.ahrq.gov
Centers for Medicare & Medicaid Services. (2023). Hospital Readmission Reduction Program.
https://www.cms.gov
Hernandez, J., Clark, R., & Martin, E. (2022). Financial impact of reducing hospital
readmissions: A multicenter study. Health Services Research, 57(6), 1125–1136.
https://doi.org/10.1111/1475-6773.14105
Johnson, P., Allen, S., & Cruz, M. (2022). Transitional care models and patient readmissions: A
longitudinal study. Journal of Nursing Care Quality, 37(4), 289–296.
https://doi.org/10.1097/NCQ.0000000000000763
Lopez, A., Green, T., & White, D. (2021). Physician-led transitional care and hospital
readmission outcomes. BMC Health Services Research, 21(1), 1345.
https://doi.org/10.1186/s12913-021-07321-8
Miller, R., & Hart, J. (2022). Interdisciplinary collaboration and patient outcomes in acute care.
Journal of Healthcare Quality, 44(2), 105–112. https://doi.org/10.1097/JHQ.0000000000000622
Nguyen, L., & Patel, S. (2021). Family involvement in post-discharge planning and outcomes.
Patient Experience Journal, 8(4), 99–107. https://doi.org/10.35680/2372-0247.1572
Osei, K., & Carter, H. (2021). Standardized discharge protocols and efficiency outcomes: A
systematic review. American Journal of Nursing Research, 9(3), 115–123.
https://doi.org/10.12691/ajnr-9-3-5

6. Tran, V., Morales, R., & Chen, Y. (2022). Interprofessional collaboration and preventable
readmissions: A clinical trial. International Journal of Integrated Care, 22(4), 88.
https://doi.org/10.5334/ijic.6452
Weiss, S., & Tappen, R. (2022). Essentials of nursing leadership and management (8th ed.). F.A.
Davis.



















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7. Email Us: [email protected]
Visit Our Website: topmycourse.net
Get a FREE DNP Sample Here:https://topmycourse.net/nurs-fpx-
8006-assessment-2/