Quality Improvement Action Plan 18936839

Quality Improvement Action Plan

An organization’s ability to learn, and translate that learning into action rapidly is the ultimate competitive advantage.—Jack Welch as quoted by KerriganThink back to when you first identified the quality improvement issue for your Course Project. 

What insights related to quality measurement, improvement strategies, and evaluation have you gained since then? How have these insights informed your view of the issue and shaped your understanding of how to promote positive outcomes for your selected organization? How would you suggest the organization proceed based on the outcomes of your investigation?In this section of the Course Project, you synthesize your analysis and recommendations into an action plan for implementing the quality improvement initiative.

To prepare:Begin to develop a plan for implementing your quality improvement initiative, including the redesigned process that you identified in Section 3. 

Consider the following:                    

 How would you undertake the process of determining a timeline for planning, implementing, and evaluating this quality improvement plan? What are some reasonable milestones for this initiative? What are the daily, weekly, monthly steps/goals?

To complete:Write a 2- to 3-page summary of your quality improvement action plan.

Required ReadingsHickey, J. V., & Brosnan, C. A. (2017). Evaluation  of health care quality in for DNPs (2nd  ed.). New York, NY: Springer Publishing Company.Review Chapter 3, “Conceptual Models for Evaluation in Advanced Nursing Practice” (pp. 61-86) (assigned in Week 3)Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. M. (2013). Integrating quality and strategy in health care organizations, Burlington, MA: Jones & Bartlett Publishers.Review Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) (assigned in Week 6)                  The authors focus on performance measures with particular focus on the relationship between financial and quality performance.                  Review Chapter 9, “Closing the Gaps” (pp. 179–194) (assigned in Week 7)                  This chapter explains how to utilize data collected during the evaluation stage in order to improve the quality of health care.                 Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.Retrieved from https://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf This report outlines the Institute of Medicine’s (IOM’s) six aims to improve the quality of health care. Review this information through the lens of evaluation. (Assigned in a previous week.)

 
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Quality Improvement And Patient Safety Initiatives

  

Quality Improvement and Patient Safety Initiatives

The vice president of nursing, Dr. Sasha Mendez, has had a lot of complaints from patients and their families about the difficulties they experience navigating the system at her organization; e.g., going from the E.R. to admissions. Dr. Mendez’s nursing specialty area is psych/mental health. As such, she is very concerned about the stress this is causing the patients.

What are the macro systems that are affecting patient satisfaction at Dr. Mendez’s facility? What micro systems should she also analyze to look at how the patient moves through—from entry, to possible admission, to possible discharge? How do these systems relate? What impacts each system?

The concepts presented in Week 8 serve as a foundation for this week as you continue to look at factors within an organization’s environment that are barriers and facilitators for implementing change. In this Discussion, you examine the macro and micro systems within the organization (of your practicum setting) and identify changes that may need to take place to facilitate quality improvement and achievement of patient safety outcomes.

To prepare:

  • Reflect on the issue you have been addressing      through your EBP Project.
  • Identify the macro and micro systems that      influence the issue. Review the McClusky and Middleton (2010) article for      an example of this process (See attached file).
  • Determine the desired outcomes of resolving the  EBP Project issue and how resolving it will improve quality and patient     safety. (Note: Next week you will evaluate these outcomes. You may      want to view the Week 10 Discussion as you prepare.)
  • What procedures/processes would need to be      modified to achieve the desired outcomes?

Post your PowerPoint presentation

By tomorrow Tuesday 10/23/18, in APA format and include 3 scholarly references from the list of required readings below, develop a 5-slide Microsoft PowerPoint presentation for the business unit team and leadership within the organization, sharing your issue, strategies for resolving the issue, and how it will improve quality and patient safety. 

Note: The purpose of the presentation is to persuade the business unit team and leadership to accept your recommendations.

Required Readings

Brooks, P., Spillane, J.J., Dick, K., & Stuart-Shor, E. (2014). Developing a strategy to identify and treat older patients with postoperative delirium. AORN Journal, 99(2), 256-276. (see attached file).

Jarden, R.J. & Sutton, L.J. (2014). A practice change initiative to improve the provision of enteral nutrition to intensive care patients. British Association of Critical Care Nurses, 20(5), 242-254.

McCluskey, A. & Middleton, S. (2010). Delivering an evidence-based outdoor journey intervention to people with stroke: Barriers and enablers experienced by community rehabilitation teams. BMC Health Services Research, 10(18). doi: 10.1186/1472-6962-10-18. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-10-18. (see attached file).

Murfet, G.O., Allen, P., & Hingston, T.J. (2014). Maternal and neonatal health outcomes following the implementation of an innovative model of nursepractitioner-led care for diabetes in pregnancy. Journal of Advanced Nursing, 70(5), 1150-1163 (see attached file).

PIICOT Question

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

O: early transfers of the patients from intensive care

T: 6 months

 
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Quality Improvement Initiative Evaluation 19419455

 

  •   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
    Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
    Show More    
  • Toggle Drawer  Context
        The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
       
  • Toggle Drawer  Questions to Consider
        As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
    Show More    
  • Toggle Drawer  Resources
        Suggested Resources
    The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
    Capella Resources
    Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
     
  • APA Module.
  • Show More    
  •  Assessment Instructions
        Preparation
    You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
    Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
    Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
     
  1. Analyze a current quality improvement initiative in a health care setting.      
    • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.      
    • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.      
    • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.      
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
     
  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.
 
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Quality Improvement Initiative Evaluation 19476017

 

  •   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
    Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
    Show More    
  • Toggle Drawer  Context
        The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
       
  • Toggle Drawer  Questions to Consider
        As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
    Show More    
  • Toggle Drawer  Resources
        Suggested Resources
    The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
    Capella Resources
    Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
     
  • APA Module.
  • Show More    
  •  Assessment Instructions
        Preparation
    You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
    Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
    Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
     
  1. Analyze a current quality improvement initiative in a health care setting.      
    • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.      
    • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.      
    • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.      
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
     
  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.
  • Assessment 2 Example
 
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Quality Improvement Initiative Evaluation

 

  •   Deliver a 5–7-page analysis of an existing quality improvement  initiative at your workplace. The QI initiative you choose to analyze  should be related to specific disease, condition, or public health issue  of personal or professional interest to you.
    Too often, discussions about quality health care, care costs, and  outcome measures take place in isolation—each group talking among  themselves about results and enhancements. Because nurses are critical  to the delivery of high-quality, efficient health care, it is essential  that they develop the proficiency to review, evaluate performance  reports, and be able to effectively communicate outcome measures related  to quality initiatives. The nursing staff’s perspective and the need to  collaborate on quality care initiatives are fundamental to patient  safety and positive institutional health care outcomes.
    Show More    
  • Toggle Drawer  Context
        The purpose of the report is to assess whether specific quality  indicators point to improved patient safety, quality of care, cost and  efficiency goals, and other desired metrics. Nurses and other health  professionals with specializations and/or interest in the condition,  disease, or the selected issue are your target audience.
       
  • Toggle Drawer  Questions to Consider
        As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
    Show More    
  • Toggle Drawer  Resources
        Suggested Resources
    The resources provided here are optional. You may use other  resources of your choice to prepare for this assessment; however, you  will need to ensure that they are appropriate, credible, and valid. The Nursing Masters (MSN) Research Guide  can help direct your research, and the Supplemental Resources and  Research Resources, both linked from the left navigation menu in your  courseroom, provide additional resources to help support you.
    Capella Resources
    Capella provides a thorough selection of online resources to help you understand APA style and use it effectively.
     
  • APA Module.
  • Show More    
  •  Assessment Instructions
        Preparation
    You have been asked to prepare and deliver an analysis of an  existing quality improvement initiative at your workplace. The QI  initiative you choose to analyze should be related to a specific  disease, condition, or public health issue of personal or professional  interest to you. The purpose of the report is to assess whether specific  quality indicators point to improved patient safety, quality of care,  cost and efficiency goals, and other desired metrics.
    Your target audience consists of nurses and other health  professionals with specializations or interest in your selected  condition, disease, or issue. In your report, you will define the  disease, analyze how the condition is managed, identify the core  performance measurements used to treat or manage the condition, and  evaluate the impact of the quality indicators on the health care  facility:
    Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
    The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
     
  1. Analyze a current quality improvement initiative in a health care setting.      
    • Evaluate a QI initiative and explain what prompted the  implementation. Detail problems that were not addressed and any issues  that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.      
    • Analyze the benchmarks that were used to evaluate success.  Detail what was the most successful, as well as what outcome measures  are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.      
    • Integrate the perspectives of interprofessional team members  involved in the initiative. Detail who you talked to, their professions,  and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.      
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
  7. Submission Requirements
     
  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older  than seven years, unless seminal work) of scholarly peer reviewed or  professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.
 
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Quality Improvement Initiative

  

Quality Improvement Initiative

 When attempting to garner support for a quality improvement initiative, it is important to demonstrate how the initiative supports the organization’s mission, vision, and values, as well as external factors that influence an organization’s priorities. Delivering a proposal for a quality improvement initiative requires clear, concise communication of the plan.

By tomorrow Tuesday 01/09/18 by 10 pm, write a minimum of 550 words essay with at least 2 references in APA format. Include the level one headings as numbered below:

1) Choose a QI initiative which has been the subject of focus in any healthcare setting. Explain the rationale that your senior leaders used in selecting this initiative for attention and focus.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

3) Find a scholarly article or one from the public press, published within the last 5 years which recounts a serious error. Relate this error to any organization with which you have some familiarity.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 11: “Patient Safety and Medical Errors”

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Designed for leaders who want to improve quality care, this article focuses on clinical handovers that occur within acute care facilities. It provides a model for improvement and is intended to be a supplemental resource that can be used with the existing research and literature on this topic.

Sennett, C. (2010). Healthcare reform: Quality outcomes measurement and reporting. American Health & Drug Benefits. Retrieved from http://www.ahdbonline.com/article/healthcare-reform-quality-outcomes-measurement-and-reporting 

The article on this website discusses features of the Patient Protection and Affordable Care Act (PPACA), focusing on the outcomes and implications for quality outcomes measuring and reporting.

Lazarus, I.R. (2011). What will It take? Exploiting trends in strategic planning to prepare for reform. Journal of Healthcare Management, 56(2), 89–93.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational priorities for quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 9 minutes.

This video provides an overview of organizational factors that influence quality. Lillee Gelinas discusses the importance of teamwork and enlisting leadership to help move quality initiatives forward. Other topics addressed include the role of stakeholders in improving patient safety and the responsibility of hospital board members in setting the quality and safety agenda.

 

 
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Quality Improvement Medical Terminology

Directions

This assignment will allow the student an opportunity to demonstrate their knowledge of the quality healthcare terminology.

Quality improvement is defined as “ongoing improvement of products, services or processes through incremental and breakthrough improvements” (ASQ 2016). Yet the field of quality improvement (QI) in organizations is filled with terms that are often used interchangeably. It is important to understand the differences in quality terminology. Compare and contrast the following definitions:

  1. Quality Control and Quality Assurance
  2. Total Quality (TQ) and Continuous Quality Improvement (CQI)
  3. Internal Stakeholders and External Stakeholders
  4. Accreditation of an Organization and Certification of an Organization
  5. Megasystems and Macrosystems

Format

Students should use the following format for their written assignment.

  1. Use APA format and cite sources, as necessary. If you need a refresher on APA, reference the APA Learning Unit. Do your resources meet the CRAAP test?
  2. You should have at least a minimum of one paragraph (3 to 5 sentences) for each terminology comparison.
  3. Make sure to use headers in your assignment.

No plagiarism  

Textbook Title: Applying Quality Management in Healthcare: A Systems Approach

Edition: 4th
Author: Patrice L. Spath and Diane L. Kelly

Publisher (Year): 2017
Textbook ISBN: 978-1-56793-881-4

 
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Quality Improvement Milestones 18944157

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