Nursing Advocacy and Campaign

The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance.

Background: �The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI�s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the �Triple Aim�:
� Improving the patient experience of care (including quality and satisfaction);
� Improving the health of populations; and
� Reducing the per capita cost of health care.�
(IHI Triple AIM Initiative, 2015)

Problem: The US health care system is the most costly in the world, accounting for 17% of the gross domestic product with estimates that percentage will grow to nearly 20% by 2020. [Source: National Healthcare Expenditure Projections, 2010-2020. Centers for Medicare and Medicaid Services, Office of the Actuary.] At the same time, countries with health systems that out-perform the US are also under pressure to derive greater value for the resources devoted to their health care systems. Aging populations and increased longevity, coupled with chronic health problems, have become a global challenge, putting new demands on medical and social services. (IHI Triple AIM Initiative, 2015)

Solution: As an advanced practice nurse, your organization has been tasked with applying the principles of the Triple Aim framework to improve the quality of care and safety of community members. In your rural North Carolina community setting, cardiovascular disease associated deaths exceed the Healthy NC 2020 target of 161.5 deaths per 100,000 residents by more than 73% (Average of 280.7 from 2009-2013). The State of NC rates for the same time frame are 229.6 (North Carolina State Center for Health Statistics, 2015). Healthcare providers within the community recognize a need for collaboration among all healthcare providers and community agencies to initiate change relative to promote education/awareness for community members, initiate policy changes, and implement a population health model of care focused on improving quality, the health of the population, and reducing costs. As an advanced practice nurse, your role in the initiative is to provide recommendations of how to improve care coordination of patients in your setting (i.e. acute care, home health, skilled nursing, physician office, hospice, etc.).
Assignment: Submit a formal APA 6th ed. paper addressing each of the following criteria. The length of the paper excluding title page and reference list is not to exceed 5-6 pages. A minimum of three scholarly sources is needed to support this assignment.

The paper should answer the following in APA format

1. Describe the scope of care coordination.
2. Identify community partners and stakeholders to support your work.
3. Name the resources needed.
4. Establish a task list.
5. Assign responsibilities.
6. Define a timeline.
7. Describe the anticipated outcomes/measures of success.
8. Describe an evaluation process.




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