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NURS FPX 6004 Assessment 3 Attempt 1 Policy Proposal Presentation

Policy Proposal Presentation 

NURS FPX 6004 Assessment 3 Attempt 1 Policy Proposal Presentation

Hello, my name is Godwin Oruh and today I will be talking about a Proposed Organizational Policy and Practice Guidelines. It has been reported that Type 2 diabetes poses one of the most widespread health concerns in the United States with about 12 % of the US population suffering from diabetes (Berget et al., 2019). 

Proposed Organizational Policy and Practice Guidelines

The following policy has been proposed to highlight the issue of declining rates for HgbA1C and its association with an increased number of incidents of missed diagnosis of diabetes. An organizational policy discussing the strategies to resolve this issue has been presented. We will also signify the role of the members of the hospital staff who will play a central role in the adoption and implementation of the policy at the health center to ensure optimum quality of care is provided to the patients. 

Proposed Policy on the Missed Diagnosis of Diabetes 

Missed Diagnoses pose a great threat to the safety and well-being of patients (Peters et al., 2020). This policy talks about the issue of decreasing numbers of HgbA1C tests as a possible predicting factor for the increased number of missed diagnoses of diabetes. The proposed policy guideline has been formulated under special emphasis on the missed diagnosis of diabetes due to the lack of proper administration and interpretation of HgbA1C tests. The practice guidelines and policy recommendations that have been presented will serve as a framework for enhancing health care practices at Mercy Medical Health. 

The proper implementation of HbA1C tests using EHR can work to significantly decrease the likelihood of such errors (Bernoit et al., 2018). It is hoped that the suggested policy plan that comprises of formation of a key administrative committee and an implementation of visual dashboards as well as HER will be executed through close coordination between the hospital administration and the health care providers to certify an enhancement in the quality of care provided to the patients. 

Scope of the Proposed Policy Plan

NURS FPX 6004 Assessment 3 Attempt 1 Policy Proposal Presentation

This policy is an application to all the nursing staff and medical staff as well the allied care providers, especially in the emergency department. The concerned individuals are involved in the process of patient examination, test prescription, and in the steps of acquiring the sample from the patient and the preparation of results. By the implementation of this policy, the key administrative committee will be able to ensure adherence of hospital staff to the proposed norms since policy compliance is essential to guarantee good quality of care provision at the health care facility (Peimani et al., 2020), provided that the guidelines prescribed in the health policy plan are strictly followed so that optimum levels of health care are achieved for the patients of diabetes.

Relevant Benchmark Metrics that Call for a Need of New Policy

This policy calls for the formation of a key administrative committee which will be joined by a key member of medical and nursing staff in addition to the experts from the administration department. The committee will oversee the action plans formulated for the enhancement of the quality-of-care provision. The committee will also make sure that training sessions of staff are conducted and before any test results are handed to the patients, they are cross-checked via Electronic Health Reports to ensure that no incident of missed diagnosis occurs. The staff should be educated to report the cases of missed diagnosis and document the happening so that a precise record can be maintained (Bernoit et al., 2018).

Need for a Policy 

The underperformance of HgbA1C exams and a reported increase in the incidents of missed diagnosis of diabetes at the Mercy Health Center raises a huge amount of concern concerning the issue of the well-being of diabetes patients. National Health and Nutrition Examination Survey (NHANES) has reported that HgbA1C is a test that is most often used for the diagnosis of diabetes in patients (Sequist et al., 2018). It is an important tool for screening diabetes in individuals (Berget et al., 2019). Thus, additional care must be given to ensure that these tests are properly administrated and the diagnosis is accurately reported.

Effect of New Policy on the Stakeholders 

It is proposed that the key administrators in the policy implementation will be asked to join and form a committee. The purpose of this committee will be to address the issue of proper implementation and seamless operation of the proposed policy for the reduction in rates of missed diagnosis of diabetes. Nurses will also be a part of this committee and in addition to this role, they will also perform the function of identifying the number of cases and incidents of these events of missed diagnosis. 

To ensure transparency in the whole process as well as guarantee efficient delivery of care, the board members will take full responsibility. In addition to these stakeholders, the patient and the patient’s family also play a key role in this process since they are at the receiving end of the health care (Saisho, 2018). The stakeholders will have unique feedback to provide which will aid in improving the practice guidelines for the proposed policy. 

Proposed policy and Practice Guidelines as a Way of Improving Quality Outcomes for Stakeholders 

The proposed committee will perform the function of role accountability and play part in the articulation and enhancement of the quality of care provided at the Mercy Health Center. The key administrative committee can also perform the task of articulating safety and strengthening a culture of welfare and protection among the staff at the Mercy Health Center. This will help to increase the quality of care since the coordination and exchange of ideas among the expert personnel in the key administrative committee will take place.

NURS FPX 6004 Assessment 3 Attempt 1 Policy Proposal Presentation

Strategies for Collaborating with Stakeholder Group to Implement the Policy

An important role of stakeholders is to ensure monitoring of the health care providers is done vigilantly. The role of the main nursing staff in this committee will be to provide insight gained from their firsthand experience when dealing with the problems of missed diagnosis. Additionally, IT staff will play part in ensuring a smooth implementation and use of a visual dashboard and EHR for the proper administration of HgbA1C so that the errors in reading the diagnosis are eliminated. This will work to reduce the rates of missed diagnosis as well.  

Diabetes is a disease that shares comorbidity with several health issues and diseases. It is associated with obesity, cardiovascular disorder, and several other renal and liver issues. In the health care settings, it has been shown that hyperglycemia, as well as hypoglycemia, are associated with levels of morbidity and mortality rates (Bernoit et al., 2018). Through strict adherence to the guidelines described in the proposed policy program, the issue of diabetes missed diagnosis in health care settings can be readily solved. To resolve the issue of missed diagnosis of diabetes, a thorough collaboration between the stakeholders is required. By putting the interests of patients foremost, we can guarantee a smooth delivery of care to diabetic patients. 


I hope the policy proposal and the principal guidelines for the implementation of this proposal will be helpful for all the stakeholders and give them a better underusing of how the ground rules for policy implementation at a health care center are laid. This will be helpful for them to understand the dynamics of policy formation as well as execution of policies at a health care facility in this case the Mercy Health Center. The scope of this proposal in addition to the required strategies has been discussed to address the function of stakeholder involvement in the application and implementation of these policies. 


Benoit, S. R., Zhang, Y., Geiss, L. S., Gregg, E. W., & Albright, A. (2018). Trends in diabetic ketoacidosis hospitalizations and in-hospital mortality – United States, 2000-2014. MMWR. Morbidity and Mortality Weekly Report, 67(12), 362–365. https://doi.org/10.15585/mmwr.mm6712a3

Berget, C., Nii, P., Wyckoff, L., Patrick, K., Brooks-Russell, A., & Messer, L. H. (2019). Equipping school health personnel for diabetes care with a competency framework and pilot education program. The Journal of School Health, 89(9), 683–691. https://doi.org/10.1111/josh.12806

NURS FPX 6004 Assessment 3 Attempt 1 Policy Proposal Presentation

Peimani, M., Nasli-Esfahani, E., & Sadeghi, R. (2020). Patients’ perceptions of patient-provider communication and diabetes care: A systematic review of quantitative and qualitative studies. Chronic Illness, 16(1), 3–22. https://doi.org/10.1177/1742395318782378

Peters, A. L., & Garg, S. K. (2020). The silver lining to COVID-19: Avoiding diabetic ketoacidosis admissions with telehealth. Diabetes Technology & Therapeutics, 22(6), 449–453. https://doi.org/10.1089/dia.2020.0187 

Saisho, Y. (2018). Use of Diabetes Treatment Satisfaction Questionnaire in diabetes care: Importance of patient-reported outcomes. International Journal of Environmental Research and Public Health, 15(5), 947. https://doi.org/10.3390/ijerph15050947

Sequist, T. D., Adams, A., Zhang, F., Ross-Degnan, D., & Ayanian, J. Z. (2018). Effect of quality improvement on racial disparities in diabetes care. Archives of Internal Medicine, 166(6), 675–681. https://doi.org/10.1001/archinte.166.6.675

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