DNP 835 Reflecting on the “IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care,” describe the role of the DNP-prepared nurse in managing costs The “IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care”

The role of the DNP-prepared nurse in managing costs for both the patient and the organization is utilizing the latest in evidence-based practice to implement interventions that will help improve the current practice. The DNP-prepared nurse must educate the patient on their treatment plan, which includes the doctor’s orders and diagnostic procedures. Hueth et al. (2022) noted that diagnostic stewardship aims to deliver the proper test to the right patient at the right time and is optimally combined with antimicrobial stewardship to allow for the correct interpretation to translate into the proper antimicrobial at the right time.

One identified barrier in cost management and inappropriate resource use is the clinical practices of healthcare professionals who place the same orders for all their patients, thus not providing individualized treatment plans. Hueth et al. (2022) discussed that an important activity for the diagnostic stewardship team is understanding their institution’s utilization trends and practices, mainly when a new test is being offered. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework, is a systematic evaluation method that helps us to understand a broad array of issues that an effective program must address (Yuan et al., 2021). Healthcare professionals may use this framework when implementing change to ensure the successful adoption and maintenance of the new intervention. As a healthcare leader, I have witnessed new interventions that are not sustained after moving on to the following quality improvement project.

References

Hueth, K. D., Prinzi, A. M., & Timbrook, T. T. (2022). Diagnostic Stewardship as a Team Sport: Interdisciplinary Perspectives on Improved Implementation of Interventions and Effect Measurement. Antibiotics, 11(2), 250. https://doiorg.lopes.idm.oclc.org/10.3390/antibiotics11020250

Perez, S. L., Backman, D., & Ginsburg, M. (2018). Assessing social values for California’s efforts to reduce the overuse of unnecessary medical care. Health Expectations, 21(2), 501–507. https://doi-org.lopes.idm.oclc.org/10.1111/hex.12644

Yuan, M., Xiao, X., Wang, Y., Han, Y., Zhang, R., Fu, H., & Fang, Y. (2021). Design and evaluation of a cognitive health education pilot program according to the RE-AIM framework. PLoS ONE, 16(12), 1–12. https://doiorg.lopes.idm.oclc.org/10.1371/journal.pone.0260934