Week 5: System of Transition of Care

Week 5: System of Transition of Care

 

This week, you synthesize the research on your selected transition of care, applying both systems thinking and leadership frameworks and models in order to recommend improvements to the transition. 

Learning Objectives

Students will:

• Analyze macrosystem-level transitions of care within healthcare settings.
• Apply systems thinking within the nurse leader role to improve transitions of care across the care continuum. 
• Analyze how leadership approaches for transitions across the care continuum align to the quadruple aim. 
• Apply leadership frameworks and models to transitions of care in healthcare settings.

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Learning Resources

 

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

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Module 2 Assignment 2: System of Transition of Care

 

Photo Credit: [Henglein and Steets]/[Cultura]/Getty Images

The World Health Organization (2016) emphasizes the importance of a system of transition of care because “transitions from one care setting to the next are often accompanied by changes in health status.” A healthcare leader must have a plan in place to make these transitions as smooth as possible. Feeley (2017) reminds nurse leaders that patients are the main focus of the Quadruple Aim, so you must prepare for change with this in mind.

This Assignment focuses on your leadership goal of keeping patients at the forefront of any change, including transitions.

References
Feeley, D. (2017, November 28). The triple aim or the quadruple aim? Four points to help set your strategy [Blog post]. Institute for Healthcare Improvement. Retrieved from http://www.ihi.org/communities/blogs/the-triple-aim-or-the-quadruple-aim-four-points-to-help-set-your-strategy

World Health Organization. (2016). Transitions of care: Technical series on safer primary care. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/252272/9789241511599-eng.pdf;jsessionid=18835745F81D91E258BFF7B409AF48D1?sequence=1

To prepare:

• Review feedback on your Module 2 Assignment 1 (from Week 4). You should incorporate your Instructor’s feedback and continue to add to and refine your annotated bibliography for your selected transition of care.
• Consider the nurse leader’s role in achieving the IHI Quadruple Aim for this transition of care. (Hint: Draw from resources on systems thinking and nurse leaders’ ability to influence innovation and change.)

Assignment (5–6 pages, not including title and reference page):

Write a paper in which you address the following:

• Identity your selected example of a transition of care.
• Describe the key stakeholders that might be involved in this transition of care and the leadership strategies you would use to engage and influence them.
• Explain how you, as a nurse leader along with your healthcare team, would apply systems thinking when providing a transition of care aligned with the IHI Quadruple Aim framework in order to improve it. Explain the fourth aim and strategy you would use and why.
• Explain how systems thinking would inform your improvement plan for the specific transition of care you selected.

Be sure your paper includes a title page and a reference page. You should also resubmit your refined Annotated Bibliography.

By Day 7 of Week 5

Submit your paper and your refined annotated bibliography. 

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “MD02Assgn2+last name+first initial.(extension)” as the name.
• Click the Module 2 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
• Click the Module 2 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “MD02Assgn2+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric: Module 2 Assignment 2 Rubric

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