1. Develop and evaluate care delivery approaches that meet current and future needs of patient populations based on scientific findings in nursing and other clinical sciences, as well as organizational, political, and economic sciences.

2. Ensure accountability for quality of health care and patient safety for populations with whom they work.​​​

a. use advanced communication skills/processes to lead quality improvement and patient safety initiatives in

    health care systems.

b. Employ principles of business, finance, economics, and health policy to develop and implement effective

    plans for practice-level and/or system-wide practice initiatives that will improve the quality of care delivery.

c. Develop and/or monitor monitor budgets for practice initiatives.

d. Analyze the cost effectiveness of practice initiatives accounting for risk and improvement of health.

e. Demonstrate sensitivity to diverse organizational cultures and populations, including patients and providers.

​    3. Develop and/or evaluate effective strategies for managing the ethical dilemmas inherent In patient care, the                health care organization, and research.

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Exemplar #1: 

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I Pod: Building Hope in a Virtual NICU

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Written in NURS 6800, this executive summary and business proposal describe an innovative solution for safe and early discharge of NICU patients via daily virtual rounding using customized software on iPads. An exceptional example for this DNP Essential, the NICU team has been successful in not only fully implementing this program, but it has been sustained and improved upon. As such, length of stay and 30-day readmissions have decreased within the population. 

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Exemplar #2: 

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Patient Progression in Inpatient Women's and Children's: Proposed Strategies to Result in Enhanced Outcomes

 

 

 

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In the fall of 2019, I was charged to lead a task force to improve patient progression and throughput within the Women's and Children's Hospital at the University of Virginia. We were challenged with stymied patient movement, resulting in delayed or canceled surgeries, lengthy ED boarders, and more than 30 inpatient turn-aways for the year. Revenue was being lost, costs were up, and satisfaction was suffering. This Powerpoint proposes my mitigation strategy to create a service line centered Patient Progression Unit (PPU) and associated real-time Epic dashboard. Delayed by the COVID-19 pandemic, the PPU is not yet fully implemented, but the dashboard is live.  

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Both exemplars also contain elements of creating, implementing, and sustaining technology solutions for the purpose of transforming health care, as described in the upcoming DNP Essential IV.

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Reference

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American Association of Colleges of Nursing. (AACN). (2006). The essentials of doctoral education for advanced nursing practice [PDF]. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

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