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Evaluate one of the underperforming benchmarks that has the potential for greatly improving overall quality or performance. Provide a compelling argument for the chosen benchmark and its impact on quality of care.

Create a 4 page report for a senior leader Director of safety and compliance of a current organizational or inter-professional team performance within the scenario of benchmarks related to diabetes. Include the healthcare laws and policies at the local, state, and federal level.

The scenario:

Review a diabetes dashboard and fact sheet used by Mercy Medical Center and determine where the organization is falling short.

1)Public health dashboards: Diabetes

A) New patients last Quarter by race

-African American: 17(3%)

-American Indian: 73(13%)

-Asian: 34(6%)

-white: 355(63%)

-Other: 11(2%)

-Blank/declined: 73(13%)

B) New patients last Quarter by gender

-MALE: 214(38%)

-Female: 347(62%)

-Blank/declined: 2

C) New patients last Quarter by age

-20 or younger: 118(21%)

-21-44: 51(9%)

-45-64: 214(38%)

-65+ : 180(32%)

-Blank/declined:0

D) Assessments:

Eye exams

Q1(2018)4 Q1(2019) 41

Q2(2018) 16 Q2(2019) 28

Q3(2018) 7 Q3(2019) 16

Q4(2018) 33 Q4(2019) 27

Foot exam

Q1(2018) 2 Q1(2019) 73

Q2(2018) 5 Q2(2019) 62

Q3(2018) 27 Q3(2019) 7

Q4(2018) 48 Q4(2019) 3

HgbA1c

Q1(2018) 1 Q1(2019) 123

Q2(2018) 11 Q2(2019) 32

Q3(2018) 23 Q3(2019) 13

Q4(2018) 87 Q4(2019) 6

Shakopee demographics:

Female:18,235 male: 17,957

Less than 20yrs(12,126)

21-44(14,732) 45-64(6,099) 65+(2371)

White(25,537:76%) Asian(3822: 10%

Latino(2890:7%) African American(1601:4%) American Indian(433:1%) 2 or more races(1016:4%) other(1661:4%)

1) Provide an accurate evaluation of dashboard metrics associated with benchmarks set forth by local,state, or healthcare laws and policies. Identify the performance shortfalls in the scenario and any gaps of information. Evaluate benchmark performance, research, and best practices.

2) Analyze challenges that meeting benchmarks can pose for a healthcare organization/ inter-professional team. Identify implications of such challenges and acknowledge assumptions underlying the analysis. Include healthcare laws,policies,regulations, and their affects on the hospital, inter-professional teams and professional practice.

3) Evaluate one of the underperforming benchmarks that has the potential for greatly improving overall quality or performance. Provide a compelling argument for the chosen benchmark and its impact on quality of care.

4)Advocate for ethical action,directed toward an appropriate group of stakeholders, to address the chosen underperforming benchmark.Argue for recommended actions and ethical principles that guide the actions. Lead in the development and implementation of ethical and culturally sensitive policies that improve health outcomes for patients,organizations,and communities.

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