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Instructions for Discussion Replies to 6 DQS
DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.
1- Each reply should be at least 200 words.
2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)
3- APA 7th edition style needs to be followed.
4- Each response should have reference at the end of each reply
5- Reference should be within last 4 years
Q-1
Cost-effective care is essentially the incentive to provide efficient, valuable care for the patient (Razavi et al., 2021); (Syed & Lazo-Belangue, 2021). So essentially this can be re-conveyed in a manner that we all have heard Dr. Barkley say in our review; “Cheapest, Quickest test or option”. Essentially, in a scenario where a CT is warranted, but there is an alternative test available that provides the same information the only difference would come from the cost (Razavi et al., 2021). So at first glance, it seems that cost is the only measure, and the alternative test would be cheaper, but there are other questions that arise (Razavi et al., 2021). Is the CT available right now, how long will the test take, and can it be read now (Razavi et al., 2021). While going through these questions, another test could also check off the boxes as well (Razavi et al., 2021).
An example could be acute cholecystitis, while a CT would show the most definition and information on an exam, an ultrasound could also be comparable (Razavi et al., 2021). When we run through the criteria, an ultrasound is cheaper, more readily available, and a quicker read of a test, which achieves the goal of gathering the appropriate information (Razavi et al., 2021).
If we apply this thought process to not only radiological procedures but to all aspects of medicine, we are then practicing cost-effective care and achieving the same results (Razavi et al., 2021). The same application is applied by all healthcare providers, and as a secondary responsibility of the NP, we could be leaders in applying cost-effective health care by coaching other providers to do the same.
References:
Razavi, M., O’Reilly-Jacob, M., Perloff, J., Buerhaus, P. (2021). Drivers of Cost Differences Between Nurse Practitioner Attributed Medicare Beneficiaries. Wolters Kluwer. Feb 2021- V. 59, 2, p. 177-194. 10.1097/MLR.0000000000001477
Syed, S., Barot, N., & Lazo-Belangue, J. (2021). Ethical, Compassionate, and Cost-Effective Approach to Health Care Decisions of Unrepresented Patients: A Bioethics Quality Improvement Project. JOURNAL OF THE ACADEMY OF CONSULTATION-LIAISON PSYCHIATRY, 62(4), 330–336.
Q-2
One of the biggest health system measures I would like to put into place and implement to assure addictive behaviors are identified and the risk of opioid dependency is mitigated is to reduce the overall supply actually available to a patient. The ideology is that if a patient has less available to them, for example, a 7 day supply instead of a 30 day supply, the temptation, and risk of overuse is diminished (Barglow, 2018). Another way to approach this is to reduce the overall supply in general, which means to reduce the number of prescriptions given out to patients or make it harder to actually order for patients without meeting previous criteria of a pain step-ladder (Barglow, 2018). For example, starting
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