Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.

Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.

· Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.

How many health care laws can you name that affect your practice in your current or future workplace? How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? You might be overwhelmed as you consider these broad questions.

· 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 family member, 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.

What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?

· What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves. 

· Preparation

For this assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.

Option 1: Dashboard and Health Care Benchmark Evaluation Simulation

If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it  that are falling short of the prescribed benchmarks.

Option 2: Actual Dashboard From a Professional Practice Setting

If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:

· The size of the facility that the dashboard is reporting on.

· The specific type of care delivery.

· The population diversity and ethnicity demographics.

· The socioeconomic level of the population served by the organization.

Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.

Option 3: Hypothetical Dashboard Based on a Professional Practice Setting

If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:

· The size of the facility that the dashboard is reporting on.

· The specific type of care delivery.

· The population diversity and ethnicity demographics.

· The socioeconomic level of the population served by the organization.

Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information.

Report Requirements

Structure your report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.

Note: The tasks outlined below correspond to grading criteria in the scoring guide.

In your report, be sure to:

· Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.

9. Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.

9. What are the local, state, or federal health care laws or policies that set these benchmarks?

. Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.

10. What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider:

1. The strategic direction of the organization.

1. The organization’s mission.

1. Available resources:

3. Staffing.

3. Operational and capital funding.

3. Physical space.

3. Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).

1. Cultural diversity in the organization.

1. Cultural diversity in the community.

1. Organizational processes and procedures.

10. How might these challenges be contributing to benchmark underperformance?

. Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.

11. Which metric is underperforming its benchmark by the greatest degree?

11. Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?

11. Which benchmark affects the greatest number of patients?

11. Which benchmark affects the greatest number of staff?

11. How does this underperformance affect the community the organization serves?

11. Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?

. Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance.

12. At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?

12. What are some ethical actions that the stakeholder group could take that support improved benchmark performance?

12. Why should the stakeholder group take action?

. Communicate your findings and recommendations in a professional and effective manner.

13. Ensure that your report is well organized and easy to read.

13. Write clearly and logically, using correct grammar, punctuation, and mechanics.

. Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.

14. Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?

14. Did you cite an additional 2–4 credible sources to support your analysis, evaluation, and advocacy?

 

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• Data Analysis and Quality Improvement Initiative Proposal
     
•   
      
• Details
• Attempt 1Evaluated
• Attempt 2Evaluated
• Attempt 3Available
• Toggle Drawer  Overview
      Prepare an 8–10-page data analysis and quality improvement  initiative proposal based on a health issue of professional interest to  you. The audience for your analysis and proposal is the nursing staff  and the interprofessional team who will implement the initiative.
  “A basic principle of quality measurement is: If you can’t measure  it, you can’t improve it” (Agency for Healthcare Research and Quality,  2013).
  Health care providers are on an endless quest to improve both care  quality and patient safety. This unwavering commitment requires  hospitals and care givers to increase their attention and adherence to  treatment protocols to improve patient outcomes. Health informatics,  along with new and improved technologies and procedures, are at the core  of virtually all quality improvement initiatives. The data gathered by  providers, along with process improvement models and recognized quality  benchmarks, are all part of a collaborative, continuing effort. As such,  it is essential that professional nurses are able to correctly  interpret, and effectively communicate information revealed on  dashboards that display critical care metrics.
  Show More    
• 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.
  Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.
   
• How important is the role of nurses in QI initiatives?
• What quality improvement initiatives have made the biggest difference? Why?
• When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort?
• Toggle Drawer  Resources
      Required Resources
  MSN Program Journey
  Please review this guide for your degree program. It can help you  stay on track for your practicum experience, so you may wish to bookmark  it for later reference.
   
• MSN Program Journey | Transcript.
• Show More    
•  Assessment Instructions
      Preparation
  In this assessment, you will propose a quality improvement (QI)  initiative proposal based on a health issue of professional interest to  you. The QI initiative proposal will be based on an analysis of  dashboard metrics from a health care facility. You have one of two  options:
  Option 1
  If you have access to dashboard metrics related to a QI initiative proposal of interest to you:
   
• Analyze data from the health care facility to identify a health  care issue or area of concern. You will need access to reports and data  related to care quality and patient safety. If you work in hospital  setting, contact the quality management department to obtain the data  you need.
• You will need to identify basic information about the health care  setting, size, and specific type of care delivery related to the topic  that you identify. You are expected to abide by HIPAA compliance  standards.
• Option 2
  If you do not have access to a dashboard or metrics related to a QI initiative proposal:
   
• You may use the hospital data set provided in the media piece  titled Vila Health: Data Analysis. You will analyze the data to identify  a health care issue or area of concern.
• You will follow the same instructions and provide the same deliverables as your peers who select Option 1.
• Instructions
  Analyze dashboard metrics related to the selected issue.
   
• Provide the selected data set in the proposal.      
  • Assess the stability of processes or outcomes.
  • Delineate any problematic variations or performance failures.
• Evaluate QI initiatives on the selected health issue with  existing quality indicators from other facilities, government agencies,  and non-governmental bodies on quality improvement.      
  • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
• Outline a QI initiative proposal based on the selected health issue and data analysis.      
  • Identify target areas for improvement.
  • Define what processes can be modified to improve outcomes.
  • Propose strategies to improve quality.
  • Define interprofessional roles and responsibilities as they relate to the QI initiative.
  • Provide recommendations for effective communication strategies  for the interprofessional team to ensure the success of the QI  initiative. Briefly reflect on the impact of the proposed initiative on  work-life quality of the nursing staff and interprofessional team.
• Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
• 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 data to identify a health care issue or area of concern.      
   • Identify the type of data you are analyzing (from your institution or from the media piece).
   • Discuss why the data matters, what it is telling you, and what is missing.
   • Analyze dashboard metrics and provide the data set in the proposal.
   • Present dashboard metrics related to the selected issue.
   • Delineate any problematic variations or performance failures.
   • Assess the stability of processes or outcomes.
   • Evaluate the quality of the data and what can be learned from it.
   • Identify trends, outcome measures and information needed to calculate specific rates.
   • Analyze what metrics indicate opportunities for quality improvement.
2. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.      
   • Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
   • Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.
   • Identify target areas for improvement, and define what processes can be modified to improve outcomes.
   • Propose evidence-based strategies to improve quality.
   • Evaluate QI initiatives on the selected health issue with  existing quality indicators from other facilities, government agencies,  and non-governmental bodies on quality improvement.
   • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
3. Integrate interprofessional perspectives to lead quality  improvements in patient safety, cost effectiveness, and work-life  quality.      
   • Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.
   • Explain how you would you make sure that all relevant roles are fully engaged in this effort.
   • Explain what non-nursing concepts would you incorporate into the initiative?
   • Identify how outcomes to measure the effect of the intervention affect the interprofessional team.
   • Briefly reflect on the impact of the proposed initiative on  work-life quality of the nursing staff and interprofessional team.  Describe how work-life quality is improved or enriched by the  initiative.
4. Apply effective communication strategies to promote quality improvement of interprofessional care.      
   • Identify the kind of interprofessional communication strategies  that will be effective to promote and ensure the success of this  performance improvement plan or quality improvement initiative.
   • In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.
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: 8–10 double-spaced, typed pages, not including title and reference page.
• Number of references: Cite a minimum of five sources (no older  than seven years, unless seminal work) of scholarly, peer-reviewed, or  professional evidence that support your evaluation, recommendations, and  plans.

 

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Purpose

This week’s graded topics relate to the following Course Outcomes (COs).

• CO 2: Apply research principles to the interpretation of the content of published research studies. (PO 4 & 8)
• CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)

Discussion

Data analysis is key for discovering credible findings from implementing nursing studies. Discussion and conclusions can be made about the meaning of the findings from the data analysis.

• Share what you learned about descriptive analysis (statistics), inferential analysis (statistics), and qualitative analysis of data; include something that you learned that was interesting to you and your thoughts on why data analysis is necessary for discovering credible findings for nursing.
• Compare clinical significance and statistical significance; include which one is more meaningful to you when considering application of findings to nursing practice.

Professor’s comment: Hello Class,
Welcome to week 6! In this thread, I ask that you discuss the differences between clinical significance vs.statistical significance and descriptive statistics vs. inferential statistics. What are some examples of these and when it comes to significance, is one more meaningful than the other?

This week, we also discuss the 4 basic rules of understanding results. These are helpful to think about once you have completed this class.

In this thread we will work toward the following Course Outcomes:

• Apply research principles to the interpretation of the content of published research studies
• Examine the sources of evidence that contribute to professional nursing practice.

I look forward to your posts! Paula

references: Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

 

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 Nursing informatics class:

Data-Based Changes

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

 

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

 

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The purpose of this assignment is to practice organizing data through ordering and grouping variables.

Data often appear disordered and it is difficult to see any connections or relationships. Ordering the data by certain variables or grouping variables into specific categories, such as age or sex categories, can help bring clarity to the data. Knowing how to organize data is an important skill to initiate the analytical process.

For this assignment, students will use Excel and SPSS Statistics to order variables. Using the “Example Dataset,” complete the steps below using both Excel and SPSS Statistics. View the Excel and SPSS tutorials for assistance in completing this assignment. Submit one Word document and include a screen shot of the data after completing the first two steps of Part 1 in Excel and SPSS to compare your results. Use a second Word document to complete Part 2 of the assignment.

Part 1: Ordering and Grouping Data Using Excel and SPSS

For Part 1, accomplish the following:

1. Order (sort) observations according to age.
2. Group observations by sex and investigate the age and income for males and females.
3. Create a new variable titled “Exercise Group” based on the variable “Minutes Exercise.” Use the following categories to create your groups: 1 = 0-30 minutes; 2 = 31-60 minutes; 3 = 61-90 minutes; 4 = 91-120 minutes; and 5 = 120+ minutes.

Part 2: Data Interpretation

Study the results of the dataset grouping and ordering. Discuss the following in a 500-750 word summary:

1. Describe the measurement levels for each of the variables in the dataset.
2. Discuss what you learned from ordering the data by age and why this information is important. 
3. Describe the process you used to group the data in Excel and SPSS.
4. Describe what you learned by grouping the variables by category of exercise.
5. Are these data from a correlational study, experimental study, or quasi-experimental (observational) study? Discuss your rationale and identify a study question appropriate for this dataset.

General Requirements

Submit the Word document to the instructor.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

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