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Enhancing Patient Outcomes and Reducing Hypertension-related Emergencies

Enhancing Patient Outcomes and Reducing Hypertension-related Emergencies

AIM Statement

This Nurse Practitioner-led Hypertension Management Program was designed to enhance patient outcomes and reduce the prevalence of hypertension-related emergencies by 25% within one year. This will be done by increasing patients’ compliance with the prescribed treatments and appointment schedules by 30% via awareness creation, constant supervision, and community mobilization.

What? What’s the problem or opportunity? Make sure it relates to a fundamental customer need.

The problem is the high incidence of hypertension-related emergencies due to inadequate management and patient adherence to treatment plans. Hypertension-related emergencies result in higher healthcare costs and poor patient outcomes (Tariq Jamal Siddiqi et al., 2023). The proposed solution will presuppose establishing the Nurse Practitioner-led Hypertension Management Program. Through proper patient education, constant patient monitoring, and frequent community engagement, the program is expected to enhance patient compliance within the community and cut short any emergent cases. This aligns with an essential customer requirement of well-managed, efficient, and continuous hypertension management, bringing about better health status and a quality lifestyle.

How much? By how much will you improve? Or “how good” do you want to get?

The goal of the Hypertension Management Program includes a measurable enhancement of the results for patients and the program’s organization. Thus, the program aims to decrease the number of emergencies due to hypertension by 25% within one year. This goal will be achieved through improvements in compliance with patients’ treatment regimens and follow-up appointments by 30%. Other goals of the Hypertension Management Program include ensuring that at least 90% of the patients are satisfied with the services offered, as a result of Patient satisfaction surveys from time to time (Burnier et al., 2021). All these improvements will be carefully measured by a set of key performance indicators, enabling the assessment of the efficiency of the program and its prospects.

Additionally, the program intends to enhance access to hypertension management services across all outpatient clinics by increasing the number of patients receiving care by 20%. The inclusion of telehealth options will also expand the accessibility of the services to various clients, especially those who are in rural areas. The detailed budget plan will focus on the cost and specify that the program should yield a return on investment within the first two years in terms of low complexity and hospitalization. In terms of staff characteristics, the engagement and competency of the staff shall be frequently evaluated and enhanced through education and performance reviews to render quality care (Janes et al., 2021). These objectives will ensure that the goal of the facility to offer competent and friendly care to patients is achieved.

By when? What is the date by which you will achieve the level of improvement you’ve set out to accomplish?

The Hypertension Management Program aims to achieve its targeted improvements by July 2025. In this timeline, the program aims to reduce the admission of complications of hypertension by 25% and increase patient compliance with the medical regimen, including appointments, by 30%. Moreover, the program outcomes will focus on maintaining at least 90% patient satisfaction. A 20% increase in the services available for hypertension management for the population and staff competency levels will be improved through constant professional development (Krishna et al., 2023). These measures will be followed and assessed based on the goals to enhance the program’s effectiveness and longevity.

For whom? Who is the customer or population who will benefit from the improvement?

The direct recipients of change in this proposed Hypertension Management Program are patients diagnosed with hypertension in the mid-sized healthcare organization’s service area. Such patients include the existing patients and other clients within the underserved and rural areas that have poor access to hypertension treatment. Moreover, the program will benefit healthcare providers such as nurse practitioners, engaging them with established guidelines and education as competency boosters. Community members will also benefit from better general health and lower costs linked to hypertensive crises. Ultimately, this program aims to deliver compassionate, high-quality care that improves the health and well-being of the entire community.

Where? What are the boundaries of the process or system you’re trying to improve? Where does it begin and end?

The Hypertension Management Program is proposed to be conducted in all the outpatient clinics in the mid-size healthcare organization. The first stage of nursing intervention involves the assessment of a patient, developing a care plan, and revisiting the patient, when necessary, with the ultimate goal of addressing hypertension complications admirably. The Hypertension Management Program begins with patient intake and assessment, extends through the implementation of care protocols and patient education, and concludes with regular monitoring and evaluation of outcomes(Song et al., 2021). The boundaries include all phases of hypertension care in the health system to guarantee systematic and integrated care.

Aim Statement

By July 31, 2025, at least 95% of hypertensive patients in the Nurse Practitioner-led Hypertension Management Program across all outpatient clinics will have improved blood pressure monitoring, evidenced by a reduction in hypertension-related emergencies and patients’ non-adherence to treatment regimens and follow-up appointments.

References

Burnier, M., Prejbisz, A., Weber, T., Azizi, M., Cunha, V., Versmissen, J., Gupta, P., Vaclavik, J., Januszewicz, A., Persu, A., & Kreutz, R. (2021). Hypertension healthcare professional beliefs and behaviour regarding patient medication adherence: a survey conducted among European Society of Hypertension Centres of Excellence. Blood Pressure, 1–9. https://doi.org/10.1080/08037051.2021.1963209

Janes, G., Mills, T., Budworth, L., Johnson, J., & Lawton, R. (2021). The Association Between Health Care Staff Engagement and Patient Safety Outcomes. Journal of Patient Safety, Publish Ahead of Print(3). https://doi.org/10.1097/pts.0000000000000807

Krishna, A., Murali, S., Moran, A. E., Saxena, A., Sandeep Singh Gill, Hering, D., & Kaur, P. (2023). Understanding the Role of Staff Nurses in Hypertension Management in Primary Care Facilities in India: A Time-Motion Study. Preventing Chronic Disease, 20. https://doi.org/10.5888/pcd20.220232

Song, T., Liu, F., Deng, N., Qian, S., Cui, T., Guan, Y., Arnolda, L., Zhang, Z., & Yu, P. (2021). A Comprehensive 6A Framework for Improving Patient Self-Management of Hypertension Using mHealth Services: Qualitative Thematic Analysis. Journal of Medical Internet Research, 23(6), e25522. https://doi.org/10.2196/25522

Tariq Jamal Siddiqi, Usman, M., Ahmed Mustafa Rashid, Syed Sarmad Javaid, Aymen Bushra Ahmed, Clark, D., Flack, J. M., Daichi Shimbo, Eun Hee Choi, Jones, D. W., & Hall, M. E. (2023). Clinical Outcomes in Hypertensive Emergency: A Systematic Review and Meta‐Analysis. Journal of the American Heart Association, 12(14). https://doi.org/10.1161/jaha.122.02935.

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Question 


Share the aim for your proposal of needed service or change in current service to either increase revenue or decrease expenses.

State your aim clearly.

Hypertension-related Emergencies

Hypertension-related Emergencies

Your aim should be 1-2 sentences, time-specific and measurable, and include numeric goals.

It should reflect the overarching IHI aims for improvement

Safe: Avoid injuries to patients from the care that is intended to help them.
Effective: Match care to science; avoid overuse of ineffective care and underuse of effective care.
Patient-Centered: Honor the individual and respect choice.
Timely: Reduce waiting for both patients and those who give care.
Efficient: Reduce waste.
Equitable: Close racial and ethnic gaps in health status.

Instructions:

Download the assignment template and create the AIM statement: Module 4_Template_AIM Statement.docx. Download Module 4_Template_AIM Statement.docx
Post your AIM in the assignment area