DNP-835: Healthcare Entity Quality and Sustainability Report

This report provides an in-depth analysis of healthcare entity quality and sustainability, examining key aspects such as safety, successes, and failures within the healthcare system. It discusses the use of Ferlie and Shortell model for setting up healthcare entities, and emphasizes the importance of data collection and sharing for the success of healthcare facilities. The report highlights the impact of nursing science on quality and safety, including nursing-sensitive outcomes, and explores obstacles that hinder the implementation of quality measures. It also addresses the roles of leadership and the use of information and communication technology in improving patient care and organizational performance. The report concludes by emphasizing the essential steps required for sustainable and quality growth in healthcare entities, with the working environment for nurses being a key factor in the overall success.

Running head: HEALTHCARE ENTITY
Quality and Sustainability Part-2
Name of the Student:
Name of the University:
Author Note:

1HEALTHCARE ENTITY
Introduction
A healthcare entity is a source that might be an organisation or group of individual
who are authentic and eligible to provide clinical and healthcare service. By engaging
themselves into medical service profession, they analyse their activity by an officially
acclaimed process, which ensures the quality of their health service. These entities hold state
licensed organisations for maintenance of health or organisations that have passed the quality
test under the Department of Health and Human Services (HHS).
For setting up a healthcare entity use of Ferlie and Shortell model, including four
steps can be used (White., 2016). Use of such model had also been seen in the U.S health care
system as well. The system holding four tiers include the patient as the first tier — however,
frontline health care professionals, such as clinicians, dentists and nurses as the second tier.
In addition, building up an organisation with the required supply of resources and facilities as
the third tier and public and private investors who can approach for the necessary purchase of
capitals and framing of policies as the fourth tier (Nigam, Huising, & Golden., 2014). The
essay discusses one such entity named FISCH HEALTHCARE.
Health care entity's Safety, Successes and Failures
The safety, success and failures depend on how much the healthcare facility is
processing by forming their guideline and norms, which must follow and abide by the norms
of their state and national policies. Moreover, collecting and sharing data across the health
care system all over the globe can help in gaining success for the entity. A health care system
comes up with diverse cases with a huge number of variety of cases. The variation shows the
possibility of how much diverse data can be found all over the world. This data holds billings
of amenities required for the entity, health surveys and enrollments in the administrative
department. However, most healthcare entity fails to hold records records regarding the faith,

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beliefs, culture and race of those who are enrolled for their service. However, these entities
hold enough documentations, which stands with such efficiencies that can collect information
regarding a patient’s race, culture, ethnicity and language.
In addition, Health plans, including Medicaid Managed Services and the Medicare
Advantage Programs have the capacity to routinely collect, monitor and improve quality of
color, gender and language results. Nonetheless, plans can have limited direct contact
methods for collecting and explaining the need for information. While the data can be
gathered at multiple points (for example, vaccination services, participant polls, enrollment),
a significant incentive for communication is during registration where concerns over unfair
use of the information may become stronger.
Insurers are prohibited from seeking applications on ethnicity, race or religion of an
applicant, on ancestry or national origin in California, Maryland, New Jersey, New York, and
Pennsylvania, but the states permit insurers for seeking such information from individuals
that have been once registered. Law does not hinder the collection of these data after
recruitment.
As many persons register under their employment opportunities, employers offer one
way to gather details about their race, ethnicity and language. Under the practice, individuals
can recognise themselves through open registration in a health plan, with an online
registration transaction requiring the employer to transmit the registration data and ethnic
data to the plan. These data could then be used by the system to track and evaluate quality
improvement.
Quality or Safety area that nursing science can impact
Although nursing advocates and address the need to quantify outcomes relevant to
nursing in the 1960s or so, a relatively recent change has been the common use of the words

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"nursing/patient outcomes" and "infirmerie-sensitive outcomes." The nursing-sensitive
measures are defined as' process, consequence and impact of caregivers who are not the sole
responsibility for nursing.'
While some scholars believe the "nurse responsive measure was essentially wrong
since there are so many factors influencing patient outcomes, medical care is performed in a
multidisciplinary sense, and few aspects of patient care are solely the duty of nurses. Some
findings are generally recognised that discrepancies reflect the quality of nursing patients and
therefore effect in the restoration of patient health. Such effects can be psychological help,
help with physical movement of the patient and even through creating interpersonal relation
with the patient.
The First Annual Nursing Quality Report Card System of the American Nurses
Association (ANA) initiated efforts. Initiated by a literature search, this project established
new measures of nursing performance. The ANA also sponsored six original feasibility
studies of the first nursing quality report card metrics that established and improved these
first collections of measures and track the standard of nursing care in the acute care
environment. First specialist examiners reviewed and checked a smaller curated group of
metrics and measures. One of the first publicly funded research studies carried out by the
ANA, which initially worked for the National Database for Nursing Quality Indicators
(NDNQI) developed in 1997, this is the California Nursing Outcomes Coalition (CalNOC).
Obstacles that hinder the implementation of the quality or safety measure
The working environment in which nurses deliver patient care will determine the
quality and safety of patient care. As the greatest health care workforce, nurses use their
expertise, skills and experience to care for patients ' complex and changing needs. A
significant part of demands for the care of the patient is based on nurses ' jobs. If care misses

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the mark of expectations, whether due to the scarcity of resources, (e.g. shortage of staff and
lack of medical equipment needed) or lack of adequate policies and procedures, nurses bear a
great deal of risk. It represents the continuing confusion of the larger impact of the many
diverse health care systems and influences in the work environment (Hughes., 2018).
Leadership roles within the entity need to collaborate with
The comportemental and organizational study on work and employee performance,
health services analysis, corporate crisis studies and their growth, and studies of consistency
organisations, have established management practices that continuously contribute in terms
of the high risk of failure to successfully implement evolving policies and to achieving
security.
Such activities include (1) management of the conflict between efficient performance
and reliability (safety), (2) establishing and maintaining the trust of organisations, (3) active
management of the process of change, (4) participation of staff in decision making regarding
work design and work flows and lastly 5) making the organization as an educational
institution for knowledge management practice (Fischer., 2016).
Moreover, the use of information and communication skill can show that, instead of
manual procedures, a number of industries have tried to use Information/communications
Systems, such as record keeping. Nonetheless, Information/Communications Systems can be
used for far more than automatic recordkeeping. With incredible progress in computing speed
and capacity and simultaneous developments in computer software, it is possible to provide
direct access to information, including health information, administrative information,
occupational information, support for real-time decision taking, support for practice
monitoring and public health data, via clinical information and communications systems
(Merchant et al., 2007).

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Conclusion
Therefore it can be concluded, that for sustainable and quality growth of any
healthcare entity, it requires certain steps in consideration. The working environment in
which nurses deliver patient care is one among those key factor. The essay also holds up the
building blocks required for a healthcare entity. It shows the field where nursing science can
impact and how a barrier can stand in route to maintaining safe and quality nursing practices.
However, the essay also reflects the use of health leadership science that a nurse can
work upon to provide quality health care for the patients.

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References
Hughes, R. G. (2018). OVERVIEW OF PATIENT SAFETY AND QUALITY OF
CARE. Introduction to Quality and Safety Education for Nurses: Core Competencies
for Nursing Leadership and Management, 1.
Nigam, A., Huising, R., & Golden, B. R. (2014). Improving hospital efficiency: a process
model of organizational change commitments. Medical Care Research and
Review, 71(1), 21-42.
White, K. M. (2016). Change theory and models: Framework for translation. Translation of
Evidence into Nursing and Health Care.
Fischer, S. A. (2016). Transformational leadership in nursing: a concept analysis. Journal of
Advanced Nursing, 72(11), 2644-2653.
Merchant, J. A., Cook, T. M., & Missen, C. C. (2007). The role of information and
communications technology. Bulletin of the World Health Organization, 85, 970-970.