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. 

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. 

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.

ALL ANSWERS TO THESE QUESTIONS HAVE TO BE 200 WORDS IN LENGTH.

1.  Discuss how an automated answering system may be effectively utilized, and discuss the differences between this system and an answering service.  

2.  Outline the major differences between new and established patients and how healthcare professionals should handle each patient type.
3.  Describe the pros and cons of using stream scheduling.
 

 Access the Healthy People 2020 (Links to an external site.) website.

Pick a topic that has to do with oral or visual health, including tobacco and sleep health. Read about the topic and Healthy People’s goals and issues for promoting health in this area. Considering this please address the following prompts in your discussion:

In your health history and physical examination, what are important areas to address for your chosen topic, according to Healthy People?
What questions would you ask in the health history to get the best information about the patient’s health status in this area?
What assessment data in this area would you collect that would be important health indicators?
These topics must be addressed in paragraph form. You may list some questions and assessment data, but there should be discussion about these.

Cite any resources/references in APA formatting that were used in the discussion. 

The first link takes you to The Joint Commission website
    You will notice that National Patient Safety Goals (NPSG) are separated by type care provided. Choose the long term care link.

1. Choose one of the goals listed and list three ways you might be able to meet that goal. 

The next link will take you to the “Speak Up” initiative.

1. Choose and view one of the videos. In a paragraph discuss your impression of the videos and if you think that they will improve patient outcomes.

A NSPG that is threaded into every health care setting is HAND HYGIENE.

1. Search and explore the Centers for Disease Control or the World Health Organization websites for hand washing/hand hygiene. Are you surprised at the volume of information? Provide a list of the reasons you think that people don’t wash their hands. How does hand washing relate to patient safety? What can be done to improve hand hygiene in patients and in providers?
2. Here are some helpful links:       
   1. Hand Hygiene
   2. Clean Care is Safer Care

Save your assignment as a Microsoft Word document. (Mac users,  please remember to append the “.docx” extension to the filename.) The  name of the file should be your first initial and last name, followed by an  underscore and the name of the assignment, and an underscore and the date. An  example is shown below:

APA 250-280 words, at least 3 references, in-text citations. 

Describe a patient case from your experiences, observations, and/or clinical practice. (ex. patients with kidney failure, liver disease, pancreatitis, opioid addict)

Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. 

Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. 

Be specific and provide examples.

FYI Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas Pharmacodynamics describes what the drug does to the body.