Domain 7: Systems-Based Practice

Responding to and leading within complex systems of health care. Nurses effectively and proactively coordinate resources to provide safe, quality, and equitable care to diverse populations.

7.1 Apply knowledge of systems to work effectively across the continuum of care.

e. Participate in organizational strategic planning.

f. Participate in system-wide initiatives that improve care delivery and/or outcomes.

g. Analyze system-wide processes to optimize outcomes.

h. Design policies to impact health equity and structural racism within systems, communities, and populations.

7.2 Incorporate consideration of cost-effectiveness of care

g. Analyze relevant internal and external factors that drive healthcare costs and reimbursement.

h. Design practices that enhance value, access, quality, and cost-effectiveness.

i. Advocate for healthcare economic policies and regulations to enhance value, quality, and cost-effectiveness.

j. Formulate, document, and disseminate the return on investment for improvement initiatives collaboratively with an interdisciplinary team.

k. Recommend system-wide strategies that improve cost- effectiveness considering structure, leadership, and workforce needs.

l. Evaluate health policies based on an ethical framework considering cost-effectiveness, health equity, and care outcomes.

7.3 Optimize system effectiveness through application of innovation and evidence-based practice.

e. Apply innovative and evidence-based strategies focusing on system preparedness and capabilities.

f. Design system improvement strategies based on performance data and metrics.

g. Manage change to sustain system effectiveness.

h. Design system improvement strategies that address internal and external system processes and structures that perpetuate structural racism and other forms of discrimination in healthcare systems.