NUR533 ETHICS AND POPULATION HEALTH
M7D1: Applying “Hot Spotting” to Impact Health Costs and Outcomes and the Role of the Masters Prepared Nurse as a Member of the Interdisciplinary Team
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FinanceThe article The Hot Spotters (Links to an external site.)Links to an external site.by Atul Gwande, describes a unique and innovative approach to understanding the high cost of care across a vulnerable population that lives with health disparities. The definition of Hot Spotting is,
Healthcare hot spotting is a data-driven process for the timely identification of extreme patterns in a defined region of the healthcare system. It is used to guide targeted intervention and follow-up to better address patient needs, improve care quality, and reduce cost. Most often the data in question are hospital reimbursement claims that are continuously produced, standardized by an operational imperative, and bring together high-stakes diagnostic, temporal, financial, spatial, and demographic data in a single set of records. Through hot spotting, claims data can help reveal both a community’s healthcare problems and their solutions (Gwande, n.d. ).
Hotspotting can be used in many regions of the health care system; this type of data analysis can be used to collect evidence and drive change in health care in many settings, across many populations. Of interest is the potential for the master’s prepared nurse to participate as member of a “Hot Spotting” team, in a particular health care setting and the type of knowledge and skill this nurse will need to be effective in this role.
To prepare for this discussion, please complete all required reading and viewing, including the Module Notes, prior to continuing. Reading the article on Hotspotting as well as viewing the website, is necessary. You may also want to review the reading and viewing from Modules 4 and 5 and 6, as well as any other readings referenced within the notes for Module 7.
You are a master’s prepared nurse working in a community based health clinic in an inner city (part of a larger health system) with a population of older adults who experience multiple health disparities, including poverty. The health system wants to enhance the care delivered to this population, achieve better care outcomes, and lower costs. You are directed to work as part of an interdisciplinary team to do this. The team consists of physicians, social workers, MSNs, RNs, community advocates and policy makers. You’ve been directed to take a “Hotspotting” approach to accomplish the desired outcomes.
Include the following information in your post:
Describe your role as a master’s prepared nurse in this interdisciplinary team./span>
What knowledge and skills will you bring to the team? (Hint: think about leadership, communication, and clinical skills.)
Why it is important to have a master’s prepared nurse on the team?
Why is an interdisciplinary approach to this issue necessary?
As a member of this interdisciplinary team, describe the data you need to collect in order to understand and address the problem.
How would you go about collecting the data to formulate an intervention? Note: Think about health care costs, finance, reimbursement, care utilization, etc. The resources on Hotspotting will be useful here.
Identify an important and pertinent policy issue that you believe would need to be addressed to effectively achieve the desired outcomes. (For example, if the population were children with diabetes the policy issue could be funding for health school lunches.) Explain how this policy issue relates to the problem.
For your initial response, please be sure to address all of the above statements and/ or questions.
Use these EC Library and OWL resources for research assistance and to properly cite your work:
Master's in Nursing Research Guide (Links to an external site.)Links to an external site.
Plagiarism & Copyright (Links to an external site.)Links to an external site.
Excelsior Library Writing Help (Links to an external site.)Links to an external site.
APA Citation Help (Links to an external site.)Links to an external site.
Excelsior College Online Writing Lab (OWL) (Links to an external site.)Links to an external site.
How You Are Evaluated
You are expected to participate in academic conversations with peers and faculty to generate scholarly dialogue. Expectations for participation in the course discussions are described under the Discussion Rubric: Exploration, Spirit of Inquiry, and Engagement (interactions) when relating your experiences, opinions, viewpoints, and ideas supported by evidence.
Consult the Discussion Posting Guide for information about writing your discussion posts. It is recommended that you write your post in a document first. Check your work and correct any spelling or grammatical errors. When you are ready to make your initial post, click "Reply." Then copy/paste the text into the message field, and click "Post Reply."
To respond to a peer, click “Reply” beneath her or his post and continue as with an initial post.
This discussion will be graded using the discussion board rubric. Please review this rubric, located on the Rubrics page within the Start Here module of the course, prior to beginning your work to ensure your participation meets the criteria in place for this discussion. All discussions combined are worth 40% of your final course grade.
Gawande, A. (2011, January 24). The hot spotters (Links to an external site.)Links to an external site.. The New Yorker, 86, 41. Camden Coalition of Healthcare Providers. (n.d.). Introduction: What is hotspotting? Camden Coalition of Healthcare Providers. Retrieved from http://healthcarehotspotting.com/wp/introduction/