Master Resource Outline

 

Course Title: NRSG 608 Design of Healthcare Delivery System

Credits: 3 (2 didactic, 1 lab)

Semesters Offered: Fall, Summer

Prerequisites: NRSG 604, EIND 458, or instructor permission.

Degree: MN, DNP

AACN Core Competencies for Advanced-level Nursing Education: Domains 1-10.

MRJCON MN and DNP Program Learning Outcome: Domains 1, 2, 3, 5, 6, 7, 8, and 10.

 

Course Description: 

The purpose of NRSG608 is to introduce the role of Clinical Nurse Leader (CNL), Doctor of Nursing Practice (DNP) and Industrial (or systems) Engineer (IE) in healthcare; examine the major systems within healthcare organizations which affect care delivery; and provide experience and tools for working effectively in interprofessional teams to redesign healthcare delivery systems. This interprofessional course targets nursing students pursuing certification as CNL or DNP, and IE students who intend to work in the healthcare sector. Students will learn strategies for analyzing and improving processes, coordinating interdisciplinary healthcare teams, enhancing healthcare quality management, and reducing health risk through medical error elimination.

Catalog Description:

Examines the role of nurses and industrial engineers in healthcare, including major systems within healthcare organizations which affect care delivery; strategies for analyzing, improving processes, coordinating interdisciplinary healthcare teams to enhance healthcare quality management; and reducing health risk through medical error elimination.

 

Course Learning Outcomes: Upon completing this course the student will be able to: 

1. Examine the interprofessional healthcare roles related to organizational leadership, effective advocacy, and the delivery and integration of care.

2. Evaluate core health care systems which drive the quality, timeliness, and cost of care using systems engineering concepts and tools.

3. Examine issues related to coordinating and leading healthcare teams in collaborative problemsolving.

4. Compare quality, risk management, and patient safety strategies among select client populations.

5. Describe interrelationships among clinical information systems, communication accuracy, error reduction, and health care system operations.

6. Assess internal and external forces including cultural factors that affect healthcare delivery across various settings.

 

Exemplars of Course Learning Outcomes:

1. Discussions which are guided by the learning circles on a weekly basis. CLO 1-6

2. Learning Circles, 9 of them, require students to work collaboratively and interprofessionally. These require nurses to apply a system engineering tool to the system, identifying improvement opportunities, and visualizing an improved way of working. CLO 1-6

3. Reflective essay detailing the students' experience in the course which demonstrates how the students met the course objectives. CLO 1-6

4. A-3 Assignment- Tool using systems thinking to implement a PDSA. Key Exemplar CLO 5

 

AACN Competencies [AACN Essentials, 2021]

This course introduces:

3.3 Consider the socioeconomic impact of the delivery of health care.

3.33b. Prioritize patient-focused and/or community action plans that are safe, effective, and efficient in the context of available resources.

3.3d Collaborate with partners to secure and leverage resources necessary for effective, sustainable interventions. 

5.3 Contribute to a culture of provider and work environment safety. 

5.3e Advocate for structures, policies, and processes that promote a culture of safety and prevent workplace risks and injury. 

5.3f Foster a just culture reflecting civility and respect. 

7.1 Apply knowledge of systems to work effectively across the continuum of care

7.1e Participate in organizational strategic planning.

7.1f Participate in system-wide initiatives that improve care delivery and/or outcomes.

7.1g. Analyze system-wide processes to optimize outcomes.

7.2 Incorporate considerations of cost-effectiveness of care

7.2k Recommend system-wide strategies that improve cost-effectiveness considering structure, leadership, and workforce needs.

7.3 Optimize system effectiveness through application of innovation and evidenced-based practice.

7.3d Recognize internal and external system processes and structures that perpetuate structural racism and other forms of discrimination in healthcare systems.

10.3 Develop capacity for leadership

10.3j Provide leadership to advance the nursing profession.

10.3q Advocate for the nursing profession in a manner that is consistent, positive, relevant, accurate, and distinctive issues.

This course develops:

5.2 Contribute to a culture of patient safety. 

5.2b Articulate the nurse’s role within an interprofessional team in promoting safety and preventing errors and near misses. 

5.2c Examine basic safety design principles to reduce risk of harm. 

6.1 Communicate in a manner that facilitates a partnership approach to quality care delivery. 

6.1g Evaluate effectiveness of interprofessional communication tools and techniques to support and improve the efficacy of team-based interactions. 

6.1i Role model respect for diversity, equity, and inclusion in team-based communications. 

6.1j Communicate nursing’s unique disciplinary knowledge to strengthen interprofessional 

partnerships. 

6.1k Provide expert consultation for other members of the healthcare team in one’s area of practice. 

6.1l Demonstrate capacity to resolve interprofessional conflict. 

8.1 Describe the various information and communication technology tools used in the care of patients, communities, and populations.

8.1f Explain the importance of nursing engagement in the planning and selection of healthcare technologies.

8.1j Explore the fiscal impact of information and communication technologies on healthcare.

8.1k Identify the impact of information and communication technologies on workflow processes and healthcare outcomes.

This course advances:

1.2 Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences

1.2 c Demonstrate social responsibility as a global citizen who fosters the attainment of health equity for all.

1.2 I Demonstrate socially responsible leadership.

1.2j Translate theories from nursing and other disciplines to practice.

2.2 Communicate effectively with individuals.

2.2b Consider individual beliefs, values, and personalized information in communications. 

2.2c Use a variety of communication modes appropriate for the context. 

2.2f Demonstrate emotional intelligence in communications.

3.1 Manage Population Health.

3.1m Develop a collaborative approach with relevant stakeholders to address population healthcare needs, including evaluation methods.

3.2 Engage in effective partnerships.

3.2b Demonstrate effective collaboration and mutual accountability with relevant stakeholders.

           

Curricular Threads addressed in this course:

  • Equity and Inclusion
  • Diversity
  • Cultural Sensitivity
  • Social Determinants of Health
  • Communication
  • Ethics
  • Clinical Judgment 

 

Recommended Content: 

  • Lean methodology
  • Change management theory
  • Technology integration
  • Theory of built environment
  • Value engineering
  • Transdisciplinary team communication
  • Community-based participatory design
  • Population Wellbeing
  • Stakeholder-Led Discovery and Evaluation

 

Approved by GAAC: 11/3/2023

Approved by Faculty: 12/13/23