NUR 325 Assignment 8.1: Evidence-Based Practice Case Study Grading Rubric-Due Sunday night by 11:50 PM MST-50 Points Metrics Poor (0-2 Points) Needs Significant Improvement (3-5 Points) Needs Some Improvement (6-9 Points) Excellent (10 Points) Definition of Evidence Based Practice Definition is missing Definition is not complete Definition is partially complete Definition is clearly stated and complete Analysis of Evidence Based Practice in U.S. Health Care Delivery Analysis missing or very limited in scope. Topic is not addressed Superficial analysis of the topic. Connection to U.S. Health Care Delivery is not clearly stated Analysis is complete, but errors in grammar or syntax limit understanding Analysis is complete and demonstrates a clear understanding of the topic. Writing is organized without errors in grammar or syntax Analysis of Evidence Based Practice at MMCI/Allina Health and U.S. Hospitals Analysis missing or very limited in scope. Topic is not addressed Superficial analysis of the topic. Connection to U.S. Health Care Delivery is not clearly stated Analysis is complete, but errors in grammar or syntax limit understanding Analysis is complete and demonstrates a clear understanding of the topic. Writing is organized without errors in grammar or syntax Analysis of the Impact of Healthcare Mergers on Patient Care and Evidence Based Practice Analysis missing or very limited in scope. Topic is not addressed Superficial analysis of the topic. Connection to U.S. Health Care Delivery is not clearly stated Analysis is complete, but errors in grammar or syntax limit understanding Analysis is complete and demonstrates a clear understanding of the topic. Writing is organized without errors in grammar or syntax Mechanics and APA formatting Numerous errors in usage, capitalization, punctuation and spelling that interfere with reading/understanding. Numerous errors in APA format, in-text citation(s), and/or reference page. Some errors in usage, capitalization, punctuation and spelling that interfere with reading/understanding. Some errors in APA format, in-text citation(s), and/or reference page. Minor errors in usage, capitalization, punctuation, and spelling that do not interfere with reading/understanding. Minor errors in APA format, in-text citation(s), and/or reference page. No errors in usage, capitalization, punctuation and spelling. No errors in APA format, in-text citation(s), or reference page. Syllabus – NRS450, updated: Jan. 2013 1 2 Assiignment 8.1: Evidence-Based Practice Case Study The coordination of care through integrated delivery systems is at the foundation of health care delivery in the United States. Often a primary goal of government officials, public health professionals, and health care administrators, measuring care coordination is a key performance indicator that directly correlates with the overall success of the health system (Johnson & Stokopf, 2010). Northwestern Hospital first open ...

1. NUR 325 Assignment 8.1: Evidence-Based Practice Case Study
Grading Rubric-Due Sunday night by 11:50 PM MST-50 Points
Metrics
Poor
(0-2 Points)
Needs Significant Improvement
(3-5 Points)
Needs Some Improvement
(6-9 Points)
Excellent
(10 Points)
Definition of Evidence Based Practice
Definition is missing
Definition is not complete
Definition is partially complete
Definition is clearly stated and complete
Analysis of Evidence Based Practice in U.S. Health Care
Delivery
Analysis missing or very limited in scope. Topic is not
addressed
Superficial analysis of the topic. Connection to U.S. Health
Care Delivery is not clearly stated
Analysis is complete, but errors in grammar or syntax limit
understanding
Analysis is complete and demonstrates a clear understanding of
the topic. Writing is organized without errors in grammar or
syntax
Analysis of Evidence Based Practice at MMCI/Allina Health

2. and U.S. Hospitals
Analysis missing or very limited in scope. Topic is not
addressed
Superficial analysis of the topic. Connection to U.S. Health
Care Delivery is not clearly stated
Analysis is complete, but errors in grammar or syntax limit
understanding
Analysis is complete and demonstrates a clear understanding of
the topic. Writing is organized without errors in grammar or
syntax
Analysis of the Impact of Healthcare Mergers on Patient Care
and Evidence Based Practice
Analysis missing or very limited in scope. Topic is not
addressed
Superficial analysis of the topic. Connection to U.S. Health
Care Delivery is not clearly stated
Analysis is complete, but errors in grammar or syntax limit
understanding
Analysis is complete and demonstrates a clear understanding of
the topic. Writing is organized without errors in grammar or
syntax
Mechanics and
APA formatting
Numerous errors in usage, capitalization, punctuation and
spelling that interfere with reading/understanding.
Numerous errors in APA format, in-text citation(s), and/or
reference page.
Some errors in usage, capitalization, punctuation and spelling
that interfere with reading/understanding.
Some errors in APA format, in-text citation(s), and/or reference
page.

3. Minor errors in usage, capitalization, punctuation, and spelling
that do not interfere with reading/understanding.
Minor errors in APA format, in-text citation(s), and/or reference
page.
No errors in usage, capitalization, punctuation and spelling.
No errors in APA format, in-text citation(s), or reference page.
Syllabus – NRS450, updated: Jan. 2013 1
2
Assiignment 8.1: Evidence-Based Practice Case Study
The coordination of care through integrated delivery systems is
at the foundation of health care delivery in the United States.
Often a primary goal of government officials, public health
professionals, and health care administrators, measuring care
coordination is a key performance indicator that directly
correlates with the overall success of the health system
(Johnson & Stokopf, 2010).
Northwestern Hospital first opened its doors back 1882 in
Minneapolis, Minnesota. Early hospitals were small, often with
fewer than 50 beds, unsanitary, and nonscientific compared to
their modern counterparts (Allina Health). Moreover, they
mainly served the poorest members of the community or
patients who were mentally ill or facing life-threating illnesses.
Northwestern Hospital was an early pioneer in the establishment
of what would eventually become evidence-based practice
(EBP) and featured one of the first schools of nursing in the
United States (Allina Health).
Introduction
For over a century Northwestern Hospital’s use of EBP has
enabled clinicians and practitioners to incorporate best
treatment practices at the point of patient care in both their

4. hospital and ambulatory organizations. For example,
Northwestern’s goal to enhance quality delivery and overall
patient care hastened the formation of a new entity, Minneapolis
Medical Center Incorporated (MMCI). In 1966, Northwestern
Hospital, along with other health care facilities in the
Minneapolis area, formed the nucleus of an organization that
would significantly master care coordination and delivery in the
ensuing decades. Ultimately, an EBP environment created a
standard of patient care that enabled MMCI to advance care
delivery and health care education and lay the foundations of a
modern health care delivery system.
Case Report
MMCI established a culture of continuous quality improvement
(CQI). Wenke, Jongwha, LaClair, and Paz (2013) have linked
CQI to better clinical quality and improved patient satisfaction.
The best practice in EBP methodology is to ensure that patient
care is coordinated and of high quality through the use of
objective clinical data from credible sources and references. By
the 1980s, a desire to add resources and support services for the
coordinated care of patients such as physical rehabilitation
helped lead an evolution from Northwestern Hospital to MMCI
and then formation of Abbott Northwestern Hospital. Since that
time, the hospital’s health services offerings have grown into a
primary health system, supporting cardiovascular care, medical
education, and health plans.
Conclusion
MMCI recently went through a merger and is now part of a
larger health system called Allina Health that serves patients in
locations across the Midwest. It has significantly expanded its
portfolio of services that utilize EBP to guide care including
mental health services, neuroscience, orthopedic care, and
cancer treatment. Additionally, decision makers in nursing and
medicine throughout this newly formed health system must
understand and master each care component to maximize system
efficiency and effectiveness.
Assignment

5. Write a 3-4 page paper answering the following questions.
Please include at least 2 scholarly resources to further support
your positions.
Questions
1. In your own words, what is EBP?
2. Is it a worthy goal for U.S. health care delivery? Why or why
not?
3. How has MMCI/Allina Health used EBP? Are most other
hospital systems in the United States using EBP in similar ways
or are there difference in the adoption of EBP?
4. Based on your own knowledge and possibly your own
community, what impacts do healthcare mergers have on patient
care and EBP?
Cite all sources in APA format.
References
Allina Health. (n.d.). https://www.allinahealth.org
Johnson, J., & Stoskopf, C. (2010). Comparative health systems.
Global perspectives. Boston, MA: Jones & Bartlett Publishers.
Wenke, H., Jongwha, C., LaClair, M., & Paz, H. (2013). Effects
of integrated delivery system on cost and quality. American
Journal of Managed Care, 19(5), e175–e184.
http://dx/doi/org/10.2471/BLT.13.126698
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