NUR 533 Discussion Hot Spotting

NUR 533 Discussion Hot Spotting

NUR 533 Discussion Hot Spotting

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FinanceThe article The Hot Spotters (Links to an external site.)Links to
an external site.by Atul Gwande, describes a unique and innovative approach to
understanding the high cost of care across a vulnerable population that lives
with health disparities. The definition of Hot Spotting is,

NUR 533 Discussion Hot Spotting states that healthcare hot spotting is a data-driven process for the timely
identification of extreme patterns in a defined region of the healthcare
system. It is used to guide targeted intervention and follow-up to better
address patient needs, improve care quality, and reduce cost. Most often the
data in question are hospital reimbursement claims that are continuously
produced, standardized by an operational imperative, and bring together
high-stakes diagnostic, temporal, financial, spatial, and demographic data in a
single set of records. Through hot spotting, claims data can help reveal both a
community’s healthcare problems and their solutions (Gwande, n.d. ).

Hotspotting can be used in many regions of the health care system; this
type of data analysis can be used to collect evidence and drive change in
health care in many settings, across many populations. Of interest is the
potential for the master’s prepared nurse to participate as member of a “Hot
Spotting” team, in a particular health care setting and the type of knowledge
and skill this nurse will need to be effective in this role.

To prepare for this discussion, please complete all required reading and
viewing, including the Module Notes, prior to continuing. according to NUR 533 Discussion Hot Spotting, reading the article
on Hotspotting as well as viewing the website, is necessary. You may also want
to review the reading and viewing from Modules 4 and 5 and 6, as well as any
other readings referenced within the notes for Module 7.

You are a master’s prepared nurse working in a community based health
clinic in an inner city (part of a larger health system) with a population of
older adults who experience multiple health disparities, including poverty. The
health system wants to enhance the care delivered to this population, achieve
better care outcomes, and lower costs. You are directed to work as part of an
interdisciplinary team to do this. The team consists of physicians, social
workers, MSNs, RNs, community advocates and policy makers. You’ve been directed
to take a “Hotspotting” approach to accomplish the desired outcomes.

Include the following information in your post:

Describe your role as a master’s prepared nurse in this interdisciplinary
team./span>

What knowledge and skills will you bring to the team? (Hint: think about
leadership, communication, and clinical skills.)

Why it is important to have a master’s prepared nurse on the team?

Why is an interdisciplinary approach to this issue necessary?

As a member of this interdisciplinary team, describe the data you need to
collect in order to understand and address the problem.

How would you go about collecting the data to formulate an intervention?
Note: Think about health care costs, finance, reimbursement, care utilization,
etc. The resources on Hotspotting will be useful here.

NUR 533 Discussion Hot Spotting states that you should Identify an important and pertinent policy issue that you believe would
need to be addressed to effectively achieve the desired outcomes. (For example,
if the population were children with diabetes the policy issue could be funding
for health school lunches.) Explain how this policy issue relates to the
problem.

For your initial response, please be sure to address all of the above
statements and/ or questions.

Use these EC Library and OWL resources for research assistance and to
properly cite your work:

Master’s in Nursing Research Guide (Links to an external site.)Links to
an external site.

Plagiarism & Copyright (Links to an external site.)Links to an
external site.

Excelsior Library Writing Help (Links to an external site.)Links to an
external site.

APA Citation Help (Links to an external site.)Links to an external site.

Excelsior College Online Writing Lab (OWL) (Links to an external
site.)Links to an external site.

How You Are Evaluated

You are expected to participate in academic conversations with peers and
faculty to generate scholarly dialogue. Expectations for participation in the
course discussions are described under the Discussion Rubric: Exploration,
Spirit of Inquiry, and Engagement (interactions) when relating your
experiences, opinions, viewpoints, and ideas supported by evidence.

Consult the Discussion Posting Guide for information about writing your
discussion posts. It is recommended that you write your post in a document
first. Check your work and correct any spelling or grammatical errors. When you
are ready to make your initial post, click “Reply.” Then copy/paste
the text into the message field, and click “Post Reply.”

To respond to a peer, click “Reply” beneath her or his post and continue
as with an initial post.

Evaluation

NUR 533 Discussion Hot Spotting states that this discussion will be graded using the discussion board rubric. Please
review this rubric, located on the Rubrics page within the Start Here module of
the course, prior to beginning your work to ensure your participation meets the
criteria in place for this discussion. All discussions combined are worth 40%
of your final course grade.

Reference:

Gawande, A. (2011, January 24). The hot spotters (Links to an external
site.)Links to an external site.. The New Yorker, 86, 41. Camden Coalition of
Healthcare Providers. (n.d.). Introduction: What is hotspotting? Camden
Coalition of Healthcare Providers. Retrieved fromhttp://healthcarehotspotting.com/wp/introduction/

Hot spots are very small places with high levels of crime, disruption, accidental injury, or any other concern requiring police attention (e.g., addresses, single street blocks, small groups of street blocks). Understanding, recognizing, evaluating, and responding to hot spots is the emphasis of this guide. Because a small number of high-activity places often account for the majority of a jurisdiction’s crime and disorder problems, hot spots are an essential target for police agencies. The book moves on to identifying hot areas after briefly analyzing what is known about the geographic distribution of police events and the causes for their high concentration. This is meant to be an overview of the hot spot identification procedure rather than a technical discussion of how to utilize software to map and define hot spots. The guide then moves on to examining hot spots in order to figure out why events are prevalent in certain areas. Finally, the guide gives a full overview of popular police techniques for responding to hot zones, as well as an assessment of their success. Hot spot policing tactics have been shown to be beneficial in reducing policing issues.

The National Institute of Justice has an overview of hot spot studies at http://www.nij.gov/topics/law-enforcement/strategies/hot-spot-policing/p…

Policing in Hot Spots and the SARA Model
according to NUR 533 Discussion Hot Spotting problem-oriented policing (POP) and the scanning, analysis, response, and assessment (SARA) paradigm are particularly compatible with hot spot policing, also known as place-based policing. The SARA model has been used to assist analysis and build suitable responses in a variety of hot spot policing actions. In his original definition of POP, Herman Goldstein introduced this relationship between place and problem-solving. One of the most common ways to characterize an issue, he said, is for episodes to concentrate in a specific region. 1 The SARA model is used as a framework in this tutorial to explore the process of identifying and responding to hot spots.

Models of policing Compstat and predictive policing have some characteristics with problem-oriented policing, but they also have some distinctions. The use of geographic mapping to direct and prioritize police attention is a typical characteristic.

Case studies of the deployment of predictive policing methods may be found in Perry et al., 2013.

Compstat and predictive policing, on the other hand, are distinguishable from problem-oriented policing in the sense that they limit the police response to things like saturation patrol or enforcement crackdowns. In contrast, these models are consistent with problem-oriented policing to the extent that they use the initial geographic analysis as a starting point for a deeper analysis of the problems at identified locations, as well as the development and implementation of a tailored response to each problem location.

NUR 533 Discussion Hot Spotting states thatThe first section of this tutorial explains what hot spots are, why they’re essential, and how to use theory to figure out what kinds of places are likely to have a lot of activity. These are crucial first stages in the hot spot identification scanning process.

The scanning phase of the SARA model is highlighted in the second part. The scanning step is finished by analyzing data to identify or confirm the areas with the highest levels of crime and disorder.

The analysis of hot spots is the subject of the third section. The analysis phase’s purpose is to examine police events and other data sources in depth in order to better understand why occurrences are clustered at that place. This analysis aids in the development of a response that is targeted to the underlying causes of the problem at each location.

The SARA model’s response phase is covered in the fourth part. Based on rigorous scientific findings, this section examines effective responses to hot areas utilized in previous interventions.

according to NUR 533 Discussion Hot Spotting, the final section on assessment analyzes the findings of previous assessments of the literature on hot spot policing and offers guidance to organizations contemplating it. The focus of the evaluation should be on the intervention’s implementation (process evaluation), whether overall crime (or calls, automobile crashes, or other problems) decreased in the targeted areas, and whether the specific problems identified during the analysis phase were successfully addressed (outcome evaluation).