Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

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In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. Assignment: Analysis of a Pertinent Healthcare Issue

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper. Assignment: Analysis of a Pertinent Healthcare Issue

RUBRIC:

Excellent	Good	Fair	Poor
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: · Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).	23 (23%) – 25 (25%) The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization. The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected.	20 (20%) – 22 (22%) The response describes the national healthcare issue/stressor selected and its impact on an organization. The response includes accurate data to quantify the impact of the national healthcare issue/stressor selected.	18 (18%) – 19 (19%) The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague or inaccurate. The response includes vague or inaccurate data to quantify the impact of the national healthcare issue/stressor selected.	0 (0%) – 17 (17%) The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague and inaccurate, or is missing. The response includes vague and inaccurate data to quantify the impact of the national healthcare issue/stressor selected, or is missing.
· Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.	27 (27%) – 30 (30%) A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided. The response accurately and thoroughly explains in detail how the healthcare issue/stressor is being addressed in other organizations.	24 (24%) – 26 (26%) An accurate synthesis of at least one outside resource reviewed on the national healthcare issue/stressor selected is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the summary provided. The response explains how the healthcare issue/stressor is being addressed in other organizations.	21 (21%) – 23 (23%) A vague or inaccurate summary of outside resources reviewed on the national healthcare issue/stressor selected is provided. The response minimally integrates resources that may support the summary provided. The response explains how the healthcare issue/stressor is being addressed in other organizations that is vague or inaccurate.	0 (0%) – 20 (20%) A vague and inaccurate summary of no outside resources reviewed on the national healthcare issue/stressor selected is provided, or is missing. The response fails to integrate any resources to support the summary provided.
· Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.	27 (27%) – 30 (30%) A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided. The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples. Assignment: Analysis of a Pertinent Healthcare Issue	24 (24%) – 26 (26%) An accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided. The response explains how the strategies may impact an organization both positively and negatively. May include some specific examples.	21 (21%) – 23 (23%) A vague or inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided. The response explains how the strategies may impact an organization both positively and negatively that is vague or inaccurate. May include some vague or inaccurate examples.	0 (0%) – 20 (20%) A vague and inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided, or is missing. The response explains how the strategies may impact an organization both positively and negatively that is vague and inaccurate, or is missing. Does not include any examples.
Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3 or 4) grammar, spelling, and punctuation errors.	0 (0%) – 3 (3%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors.	3.5 (3.5%) – 3.5 (3.5%) Contains several (3 or 4) APA format errors.	0 (0%) – 3 (3%) Contains many (≥ 5) APA format errors.
Total Points: 100

Excellent

Good

Fair

Poor

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

· Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

23 (23%) – 25 (25%)

The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization.

The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected.

20 (20%) – 22 (22%)

The response describes the national healthcare issue/stressor selected and its impact on an organization.

The response includes accurate data to quantify the impact of the national healthcare issue/stressor selected.

18 (18%) – 19 (19%)

The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague or inaccurate.

The response includes vague or inaccurate data to quantify the impact of the national healthcare issue/stressor selected.

0 (0%) – 17 (17%)

The response describes the national healthcare issue/stressor selected and its impact on an organization that is vague and inaccurate, or is missing.

The response includes vague and inaccurate data to quantify the impact of the national healthcare issue/stressor selected, or is missing.

· Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.

27 (27%) – 30 (30%)

A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided.

The response accurately and thoroughly explains in detail how the healthcare issue/stressor is being addressed in other organizations.

24 (24%) – 26 (26%)

An accurate synthesis of at least one outside resource reviewed on the national healthcare issue/stressor selected is provided. The response integrates at least 1 outside resource and 2 or 3 course-specific resources that may support the summary provided.

The response explains how the healthcare issue/stressor is being addressed in other organizations.

21 (21%) – 23 (23%)

A vague or inaccurate summary of outside resources reviewed on the national healthcare issue/stressor selected is provided. The response minimally integrates resources that may support the summary provided.

The response explains how the healthcare issue/stressor is being addressed in other organizations that is vague or inaccurate.

0 (0%) – 20 (20%)

A vague and inaccurate summary of no outside resources reviewed on the national healthcare issue/stressor selected is provided, or is missing.

The response fails to integrate any resources to support the summary provided.

· Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.

27 (27%) – 30 (30%)

A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples. Assignment: Analysis of a Pertinent Healthcare Issue

24 (24%) – 26 (26%)

An accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response explains how the strategies may impact an organization both positively and negatively. May include some specific examples.

21 (21%) – 23 (23%)

A vague or inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided.

The response explains how the strategies may impact an organization both positively and negatively that is vague or inaccurate. May include some vague or inaccurate examples.

0 (0%) – 20 (20%)

A vague and inaccurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided, or is missing.

The response explains how the strategies may impact an organization both positively and negatively that is vague and inaccurate, or is missing. Does not include any examples.

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

4 (4%) – 4 (4%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 (5%) – 5 (5%)

Uses correct APA format with no errors.

4 (4%) – 4 (4%)

Contains a few (1 or 2) APA format errors.

3.5 (3.5%) – 3.5 (3.5%)

Contains several (3 or 4) APA format errors.

0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

Total Points: 100

Solution

Assignment: Analysis of a Pertinent Healthcare Issue

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).

This discussion addresses the issue of mental health and how it impacts healthcare organizations. As a nurse, it is my duty to bring to light issues affecting care delivery and suggest ways to address them in order to improve clinical outcomes. Being a nurse in an inner city care organization, I have come across several patients who display symptoms of mental health illnesses such as depression, compulsive tendencies, and anxiety.

These affect compliance to good health practices, and in some instances, patients engage in activities that have negative outcomes on their health. Some aggravate existing medical conditions. For instance, depression compels patients to seek escape and alcohol is one of the most convenient forms of escape accessible.

Notably, alcoholism causes a deterioration of existing heart, kidney, liver, and vascular medical conditions. These negative outcomes and noncompliance lead to higher hospital readmission rates, higher costs in medication, and heavier workloads on healthcare practitioners (Mojtabai & Olfson, 2020).

Mental health is not a concern to be addressed only on the patient side, it also affects healthcare practitioners now more so than before. With the COVID pandemic, care providers were burdened with more cases than before and without mechanisms to help such as family ties, hobbies, and social interactions that served as a way to relieve stress. Grover et al (2020) asserts that as a result of the pandemic, as much as half of healthcare workers are at risk of mental health problems.

Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.

Mojtabai & Olfson (2020) address the broad unwillingness by society to invest in mental healthcare. Take a situation where a hospital has a specific amount of dollars to invest in either a heart surgery unit or in behavioral healthcare. The odds are high that the hospital administration will invest in the more profitable heart center. With such a mindset, it is not surprising that there is an inadequate number of mental health practitioners to cater for the national population.

Addressing mental health means healthcare organizations have to assign the same level of importance to mental health as they do to other specializations such as heart care and cosmetic surgery when it comes to their investing and staffing decisions. It is not as profitable, yes, but investing in mental health eliminates it as a negative multiplier to other physical health concerns.

The issue of mental health can be addressed by increased education and communication, leadership training, employee benefits, and telehealth. Grover et al (2020) suggest that healthcare organizations should encourage care providers to seek mental health assistance by having mental health as part of employee benefits packages and communicating their availability in internal communications.

Leadership training helps to dampen the impact of mental illness among colleagues in the organization. It is important for leaders to recognize the signs of possible mental health illness, and to be able to have empathetic dialogues about it with employees. Assignment: Analysis of a Pertinent Healthcare Issue

Telehealth helps address the issue of access to mental healthcare services by patients (Love & Carrington, 2018).This is especially true since one of the reasons patients hesitate from seeking assistance is the stigma and negative attitudes associated with seeking psychiatric help. However, the capacity to seek mental health services from the privacy of one’s home through telehealth significantly helps to bridge this gap.

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Dall’Ora et al (2020) address the issue of burnout. Burnout is a mental health challenge resulting from extreme workplace stress. The WHO added burnout to the International Classification of Diseases in 2019. Burnout is difficult to talk about just as it is hard to talk about other mental health conditions. Lower productivity, workplace conflicts, increased employee turnover, and higher medical costs are some of the ways healthcare organizations are affected by mental health among healthcare professionals.

Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

The strategies used to address the organizational impact of mental health mentioned above include communication and education to raise awareness and counter stigma, leadership training, embedding mental healthcare in employee packages, telehealth, and increasing investments in mental health services.

Leadership training, communication and education impact an organization by increasing awareness of mental health and reducing stigma around it with the aim of encouraging both patients and practitioners to be amenable to seeking psychiatric services and be considerate of those receiving psychiatric care (Grover et al, 2020). Embedding mental healthcare care in employee benefits impacts organizations by increasing access to mental health services for employees.

Doing all this requires healthcare organizations to incur costs in terms of money, staff and time. The eventual benefits of these strategies is increased productivity and lower turnover for employees. On the patient side, the benefits include lower costs of healthcare, lower incidence of comorbidities, lower rates of readmission, and less stress on the healthcare network. Deploying telehealth has implementation costs such as hardware and training costs.

The benefits accrued include better access to and greater ease of finding mental healthcare resources by patients. Moreover, there is greater compliance by patients to their regimens from using telehealth. In summary, it can be said that investing in mental healthcare is worth it as the positive outcomes far outweigh the costs. Assignment: Analysis of a Pertinent Healthcare Issue

References

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical

review. Human resources for health. 18, 1-17.

Grover, S., Dua, D., Sahoo, S., Mehra, A., Nehra, R., & Chakrabarti, S. (2020). Why all COVID-

19 hospitals should have mental health professionals: The importance of mental health in a worldwide crisis!. Asian journal of psychiatry, 51, 102147.

Love, R. A., & Carrington, J. M. (2018, June 1). Telehealth: Bridging the care gap in mental health treatment. Nursingcentered.sigmanursing.org. https://nursingcentered.sigmanursing.org/features/top-stories/telehealth-bridging-the-care-gap-in-mental-health-treatment

Mojtabai, R., & Olfson, M., (2020). National trends in mental healthcare for US adolescents.

JAMA psychiatry, 77(7), 703-714. Assignment: Analysis of a Pertinent Healthcare Issue

Assignment: Analysis of a Pertinent Healthcare Issue