What additional information do you need to assist in making decisions (remember to create this information if needed)?The nursing leadership committee of a community based health center is concerned about recent indicators of lower thanstandard quality patient care from inpatient and outpatient data. The committee wants to have a high patient outcomeand recognizes the need to address the following issues:The scenarioIn reviewing the number and type of missed appointments for the past six months, the nurse leader of a community-basedoutpatient clinic notes that Hispanic patients are 3 times more likely than Caucasian patients to miss their scheduledappointments. The nurse leader confers with the head of the pharmacy that is part of the clinic and discovers that,likewise, Hispanic patients are the least likely of all racial/ethnic groups to get their medication refills.Choose the major elements/factors/things/processes that can be changed that can affect both patient satisfaction withnursing care, and RN job satisfaction. Design a program/process that increases adherence to medical appointments andmedication among Hispanics receiving care from the clinic.Questions to be answeredWhat additional information do you need to assist in making decisions (remember to create this information if needed)?What are the requirements and implications regarding the Affordable Health Care Act? What would you change? Share thereasons that you chose these changes? How will changing these make a difference? How do you go about implementing thesechanges? How can these changes be sustained? What barriers might you encounter when making these changes? Whatreactions would you anticipate encountering these barriers? How would you overcome the barriers? : What additionalinformation do you need to assist in making decisions (remember to create this information if needed)? What are thepotential causes of the disparity? Identify the stakeholders in this community issue and the reasons you chose them.What is your program/process likely to address to decrease the disparity?Resources:American Nurses Association (2010). Nursing: Scopes and Standards of Practice (2nd ed.).Washington, D.C.: American Nurses Association. [ISBN 978-1-5581-02828]Cherry, B