NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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Capella university

NURS-FPX 6210 Leadership and Management for Nurse Executives

Prof. Name

Date

Care Setting Environmental Analysis

NYU Langone is an academic medical center known nationally for excellence in patient care, research, and medical education. This environmental analysis aims to support the organization in crafting a strategic plan that leverages its strengths and addresses challenges. Using Appreciative Inquiry (AI) and SWOT analysis, the assessment evaluates NYU Langone Health’s current capabilities and opportunities, providing strategic recommendations to promote ongoing growth and quality improvement.

Part 1: Appreciative Inquiry Discovery and Dream

Stories and Evidence on Quality Safety Goals

NYU Langone has established itself as a leader in healthcare quality and safety, demonstrated by its success in reducing hospital-acquired infections (HAIs) through stringent infection prevention protocols. For example, its Central line-associated bloodstream infection (CLABSI) rate is 0.437, and the catheter-associated urinary tract infection (CAUTI) rate is 0.581, both substantially lower than the national benchmark of 1.000 (Medicare, 2024). Additionally, NYU Langone provides sepsis care to 81% of its patients, outperforming the national average of 62% and New York state average of 57% (Medicare, 2024). These achievements underscore the hospital’s commitment to patient safety and maintaining a virtually infection-free environment.

During the COVID-19 pandemic, NYU Langone swiftly adapted by expanding telehealth services to maintain patient access while reducing exposure risk. Starting March 19, 2020, the hospital extended video visits across all ambulatory locations, conducting over 7,000 visits within 10 days and accounting for more than 70% of its care volume. Usage was highest among patients aged 20 to 44, particularly for urgent care, though all age groups utilized the platform (NYU Langone Health, 2020). This rapid innovation highlights the institution’s ability to respond dynamically to crises while ensuring safety.

The hospital’s culture of collaboration and patient-centered care has been nationally recognized, with multidisciplinary teamwork driving milestones and healthcare service expansions (Zajac et al., 2021). The emphasis on patient safety, access, and innovation reflects NYU Langone’s patient-first philosophy and commitment to high clinical standards.

Awards, Accreditation, and Assumptions

NYU Langone has received top rankings for quality and safety from Vizient, Inc., and holds accreditation from The Joint Commission, affirming its adherence to rigorous standards (NYU Langone Health, 2022; CMS, n.d.). The hospital leverages data analytics and internal dashboards to continuously monitor patient outcomes, infection rates, and safety events, maintaining CLABSI and CAUTI rates consistently below national averages (Medicare, 2024). These data-driven quality improvement efforts support the hospital’s culture of continuous enhancement.

However, gaps remain concerning the scalability and sustainability of these strategies at other care sites. For instance, long-term maintenance of infection prevention protocols and the expansion of telehealth require ongoing evaluation. Additionally, patient feedback on telehealth accessibility across diverse populations and assessments of cultural sensitivity in care delivery are areas for further investigation. Collecting staff perceptions and engagement data could also strengthen future quality initiatives.

Goals for NYU Langone Health

An attainable goal for NYU Langone is to implement a hospital-wide patient safety education program emphasizing cultural competence, communication, and patient advocacy. While patient safety protocols are strong, such a program would target vulnerable and underserved populations to reduce disparities in patient harm.

Another priority is to introduce multilingual support within the telehealth system, ensuring equitable virtual care access for non-English-speaking patients (U.S. Department of Health and Human Services, n.d.). This enhancement would improve patient satisfaction and care equity in New York City’s multicultural environment.

Ethical and Culturally-Sensitive Improvements

These goals would foster ethically and culturally sensitive care by educating staff on patients’ cultural backgrounds, communication preferences, and advocacy needs, promoting respect and inclusivity (Mistri et al., 2023). Multilingual telehealth support would address language barriers, enabling equitable care regardless of patients’ native languages and minimizing health disparities.

Alignment with Mission, Vision, and Values and Assumptions

The proposed initiatives align with NYU Langone’s mission to deliver outstanding, patient-centered care through collaboration (NYU Langone Health, n.d.). They reflect the vision of compassionate, comprehensive care for all and uphold values of equity, innovation, and service excellence. Success depends on adequate resources for multilingual staffing and training, as well as active engagement from both patients and staff to foster cultural competence and safer care environments.

Part 2: SWOT Analysis

The SWOT analysis below evaluates NYU Langone Health’s quality and safety performance by examining internal strengths and weaknesses alongside external opportunities and threats.

SWOT Category	Description
Strengths	NYU Langone has excelled in reducing CLABSI and CAUTI rates through advanced infection control. The hospital’s multidisciplinary teamwork and innovation contribute to high patient satisfaction, with 74% recommending the facility (Medicare, 2024). Its adaptability to telehealth growth during the pandemic exemplifies commitment to quality care.
Weaknesses	Despite telehealth expansion, patients lacking reliable internet or technology face access barriers (Haimi, 2023). Cultural competence training remains insufficiently integrated into safety programs, creating gaps in equitable care for diverse populations. Sustainability of some initiatives requires improvement.
Opportunities	Expanding multilingual telehealth services to non-English speakers offers significant potential to enhance health equity. Leveraging advanced data analytics for real-time safety monitoring and partnering with community organizations to address social determinants of health are promising strategies (Jarunde, 2023).
Threats	High healthcare costs and changing regulations may threaten funding for telehealth. Regional competition could challenge NYU Langone’s leadership in patient safety innovations. Staffing shortages and burnout pose risks to care quality and safety if not effectively managed.

Area of Concern

One critical concern is the lack of multilingual access within telehealth, limiting equitable care for non-English-speaking patients in New York City. Addressing this gap supports the hospital’s mission, vision, and values related to equity and innovation (NYU Langone Health, n.d.). Improving multilingual telehealth will increase patient satisfaction, trust, and engagement, reduce disparities, and reinforce NYU Langone’s reputation for inclusive, culturally competent care. Key performance indicators may include patient satisfaction scores, language access utilization, missed appointment rates, and staff feedback on training effectiveness (U.S. Department of Health and Human Services, n.d.).

Part 3: Comparison of Approaches

The Appreciative Inquiry (AI) approach at NYU Langone focused on uncovering strengths and positive stories that underpin quality and safety achievements. AI emphasizes collaboration, solution-building, and recognition of successful practices, fostering an optimistic and forward-looking environment (Ghosh et al., 2022). This included collecting qualitative evidence, staff and patient testimonials, and narratives highlighting infection prevention and telehealth expansion.

Conversely, the SWOT analysis provided a balanced assessment of strengths, weaknesses, opportunities, and threats by integrating qualitative and quantitative data, such as infection rates, patient satisfaction, and competitive benchmarks. SWOT engages more critically with challenges, including staffing issues and regulatory risks (Ghosh et al., 2022).

Interaction styles differ between the approaches; AI promotes collaborative and constructive discussions, while SWOT encourages open acknowledgment of problems and conflicts. Both methods aim to improve organizational performance but use complementary strategies: AI through positivity and innovation, SWOT through critical evaluation and balanced problem-solving.

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Part 4: Analysis of Relevant Leadership Characteristics and Skills

Leadership for AI-based projects requires visionary, empathetic, and collaborative qualities. Leaders should foster storytelling, highlight strengths, and empower teams to innovate and share successes, driving motivation and continuous improvement.

For SWOT-based initiatives, leaders need analytical objectivity and conflict management skills to critically assess strengths and weaknesses and incorporate diverse viewpoints, including difficult perspectives. Effective communication, adaptability, and facilitation skills are essential for both approaches to engage teams and sustain progress.

Challenges include measuring long-term impact of AI-driven improvements and ensuring unbiased objectivity in SWOT analyses. Strong leadership is crucial to navigate these complexities and promote a culture of quality and safety.

Conclusion

The combined use of Appreciative Inquiry and SWOT analysis reveals NYU Langone Health’s strengths, such as superior infection prevention and innovative telehealth solutions, alongside ongoing challenges in equitable care delivery. Leadership that embodies collaboration, empathy, and critical thinking can support sustained improvements, aligning with the institution’s mission and values to provide high-quality, patient-centered care.

References

CMS. (n.d.). NYU Langone hospitals. Cms.gov. https://www.cms.gov/medicare/medicare-general-information/medicareapprovedfacilitie/vad-destination-therapy-facilities-aug2007-items/nyu-langone-hospitals-

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Ghosh, S., Struminger, B. B., Singla, N., Roth, B. M., Kumar, A., Anand, S., Mtete, E., Lusekelo, J., Massawe, I., Jarpe-Ratner, E., Seweryn, S. M., Risley, K., Moonan, P. K., & Pinsker, E. (2022). Appreciative inquiry and the co-creation of an evaluation framework for extension for community healthcare outcomes (ECHO) implementation: A two-country experience. Evaluation and Program Planning, 92, 102067. https://doi.org/10.1016/j.evalprogplan.2022.102067

Haimi, M. (2023). The tragic paradoxical effect of telemedicine on healthcare disparities- a time for redemption: A narrative review. BMC Medical Informatics and Decision Making, 23(1), 95. https://doi.org/10.1186/s12911-023-02194-4

Jarunde, N. (2023). Real – time risk monitoring with big data analytics for derivatives portfolios. International Journal of Science and Research (IJSR), 12(9), 2185–2189. https://doi.org/10.21275/sr24517154713

Medicare. (2024, October 30). NYU Langone Hospitals. Medicare.gov. https://www.medicare.gov/care-compare/details/hospital/330214?city=New%20York\&state=NY\&zipcode=10016

Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12), 1–7. https://doi.org/10.7759/cureus.51159

NYU Langone Health. (2022). NYU Langone Health receives awards for outstanding quality & safety. nyulangone.org. https://nyulangone.org/news/nyu-langone-health-receives-awards-outstanding-quality-safety

NYU Langone Health. (2020, April 30). Telemedicine transforms response to COVID-19 pandemic in disease epicenter. Nyulangone.org. https://nyulangone.org/news/telemedicine-transforms-response-covid-19-pandemic-disease-epicenter

NYU Langone Health. (n.d.). Our story. Nyulangone.org. https://nyulangone.org/our-story

U.S. Department of Health and Human Services. (n.d.). Improving access to telehealth. Telehealth.hhs.gov. https://telehealth.hhs.gov/providers/health-equity-in-telehealth/improving-access-to-telehealth

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Zajac, S., Woods, A., Tannenbaum, S., Salas, E., & Holladay, C. L. (2021). Overcoming challenges to teamwork in healthcare: A team effectiveness framework and evidence-based guidance. Frontiers in Communication, 6(1), 1–20. https://www.frontiersin.org/journals/communication/articles/10.3389/fcomm.2021.606445/full