Purpose: Comment the Discussion (Class 504 Unit 9 Topic 1 Comment 2) Laura
Thing to Remember:
Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.
1 References, find resources that are 5 years or less
No errors with APA format 6 Edition
To Comment:
My PICOT Question is; Do Medicare beneficiaries that has three or more chronic medical conditions have better health outcomes and reduced healthcare costs with access to care management services and coordination of care than those Medicare beneficiaries that do not have access or choose to access and participate in it? I have completed the EBP Implementation Scale on p. 599 for my PICOT and here are my results:
1. Used evidence to change my clinical practice. (4)
2. Critically appraised evidence from a research study. (2)
3. Generated a PICO question about my clinical practice. (2)
4. Informally discussed evidence from a research study with a colleague. (4)
5. Collected data on a patient problem. (4)
6. Shared evidence from a study or studies in the form of a report or presentation to more
than 2 colleagues. (4)
7. Evaluated the outcomes of a practice change. (4)
8. Shared an EBP guideline with a colleague. (4)
9. Shared evidence from a research study with a patient/family member. (1)
10. Shared evidence form a research study with a multi-disciplinary team member. (4)
11. Read and critically appraised a clinical research study. (4)
12. Accessed the Cochrane database of systematic reviews. (4)
13. Accessed the national guidelines clearinghouse. (4)
14. Used an EBP guideline or systematic review to change clinical practice where I work. (2)
15. Evaluated a care initiative by collecting patient outcome data. (4)
16. Shared the outcome data collected with colleagues. (2)
17. Changed practice based on patient outcome data. (2)
18. Promoted the use of EBP to my colleagues. (2)
I work for a large Medicare Health Maintenance Organization thrusts me into the world of EBP. We are guided by HEDIS measures and quality outcomes. That drives best practice initiatives and supports outcomes (Fineout-Overholt & Melnyk, 2015).
Fineout-Overholt, E., Melnyk, B. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. (3rd Ed.). Wolters Kluwer/ Lippincott Williams & Wilkins

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