Propose A Change To One Aspect Of Your Local Or Regio 091149

Propose A Change To One Aspect Of Your Local Or Regional Health Care S

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5 page report. Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change.

As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement. This assessment provides an opportunity to examine a local or regional health care issue from a global perspective. Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries' health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes. In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders.

To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:

REQUIREMENT

Complete this assessment in three steps: Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change. Summarize your proposed change and the results of your comparative analysis in a report to executive leaders. The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point.

Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Identify an aspect of a local or regional health care system or program that should be a focus for change. Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.

Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States. Choose one of the following options for selecting the two systems or programs: Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change. Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem. Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system. Explain why specific changes will lead to improved outcomes.

Determine the financial and health implications associated with the proposed changes. Address the implications of making the changes. Address the implications of not making the changes. Write clearly and concisely in a logically coherent and appropriate form and style. Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Paper For Above instruction

The United States’ healthcare system faces persistent challenges, including disparities in access, costs, and quality. As a nurse leader committed to enhancing healthcare outcomes, I propose to improve the coordination of care within my regional healthcare system. Care coordination is vital for managing chronic illnesses, reducing hospital readmissions, and improving patient satisfaction. Poorly coordinated care often results in duplicated tests, medication errors, and fragmented services, which compromise patient health and inflate costs. Addressing these issues could significantly improve health outcomes and reduce financial burdens. To inform this proposal, I conducted a comparative analysis including the Netherlands and Germany, two countries with notable approaches to healthcare management that could offer valuable lessons.

The proposed change involves implementing a comprehensive care coordination program that emphasizes patient-centered approaches, integration of health information technology, and enhanced roles for multidisciplinary teams. The goal is to streamline communication among healthcare providers, empower patients in their care, and promote the seamless transfer of health information. Ideally, this would result in decreased hospital readmissions, improved management of chronic diseases, and higher patient satisfaction scores.

The Netherlands exemplifies a healthcare system that emphasizes integrated care, accessible primary care, and shared financial responsibility among providers, patients, and insurers. Their system promotes equitable access, with universal coverage largely funded through government and mandatory private insurance, which minimizes disparities and promotes preventative care (Zweifel & Henderson, 2019). The Dutch approach has led to lower hospitalization rates and better management of chronic diseases, reflecting effective care coordination.

Germany’s healthcare system also provides valuable insights. It operates under a statutory insurance model with a high degree of provider integration and patient choice. Germany emphasizes collaborative care models, health information exchanges, and incentives for coordinated services (Busse et al., 2020). This system reduces fragmentation and enhances efficiency, leading to better health outcomes and cost control.

Comparing these systems to the U.S., research indicates that our fragmented approach often results in redundant testing, medication errors, and high readmission rates, particularly among vulnerable populations (McGinnis et al., 2019). Implementing a care coordination program inspired by Dutch and German models could address these issues by establishing integrated networks, adopting advanced health IT systems, and fostering collaborative practice among providers.

Financially, the initial investment in health IT infrastructure and staff training could be offset by savings from reduced hospital readmissions, unnecessary tests, and adverse drug events. A shift toward value-based payment models—similar to those in the Netherlands and Germany—would further incentivize care coordination and quality improvements (Clemens et al., 2021). Conversely, failing to adopt these models risks continuing high costs, poor health outcomes, and persistent disparities.

In conclusion, embracing a comprehensive care coordination program modeled after successful European systems offers a promising pathway to improving regional healthcare outcomes. This approach can bridge current fragmentation, enhance patient experience, and promote cost-effective, evidence-based practices. It is essential for stakeholders to collaborate on implementing these changes, supported by technological investments and policy reforms, to realize the full potential of integrated care in the U.S.

References

• Busse, R., Blümel, M., Scheller-Kreinsen, D., & Zentner, A. (2020). The German health system and reform feedback. Health Policy, 124(3), 209–217.
• Clemens, J., Sinha, M., & Nguyen, H. (2021). Value-based care models in European health systems: Lessons for the United States. Journal of Health Economics, 75, 102362.
• McGinnis, T., Jessee, S., & Adams, M. (2019). Health care fragmentation and its effects on outcomes: A U.S. perspective. Medical Care Research and Review, 76(4), 408–425.
• Zweifel, P., & Henderson, J. (2019). The Netherlands’ health care system: A comprehensive review. European Journal of Health Economics, 20(5), 673–684.