Quality Improvement 19276167

Provide an example of experimental, quasi-experimental, and nonexperimental research from the GCU Library and explain how each research type differs from the others. When replying to peers, evaluate the effectiveness of the research design of the study for two of the examples provided.

 
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Quality Only Scholarly Apa Format

 MUST FOLLOW ALL INSTRUCTIONS-

Assignment:

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:

  • What is the health problem
  • Which group(s) are most likely to be at risk
  • What social/behavioral/health system determinants affect this
  • Identify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issue
  • What resistance might be met in implementing the intervention/activity

View these links on how to create infographics:

  • http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx
  • http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht

You should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.

 
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Quality Metrics For Chronic Disease Management

  

Quality Metrics for Chronic Disease Management

 According to the CDC, chronic diseases are the leading cause of death in the United States, with almost 50% of the population suffering from at least one chronic illness. As a result, almost 80% of health care spending is devoted to its management (CDC, 2010). To this end, the National Committee for Quality Assurance (NCQA) developed performance measures. These performance measures allow organizations to compare yearly quality improvement outcomes in the management of chronic diseases. As a nurse engaged in advanced practice, you may find yourself at the forefront of prevention and care management efforts.
 

To prepare:

  • Review      the National Committee for Quality Assurance report, presented in the      Learning Resources, and examine current trends and measures associated      with at least two chronic diseases. This information will form the basis      for this Discussion.
  • Review      examples of measures that address the management of chronic diseases for      an inpatient setting that might not be relevant in an outpatient setting.      Be sure to explore the companion metrics that influence a patient’s      ability to manage chronic disease.
  • Consider      how these metrics facilitate change and improve the management of chronic      disease.
  • Examine      the efficiency of current automated trigger systems for managing patient safety.      Ask yourself: How do these automated trigger systems help improve quality      of health care, patient education, and management of chronic illnesses?

By tomorrow 12/27/2017, write a minimum of 550 words essay in APA format with 2 references from the list below. Include the level one headers as numbered below:

post a cohesive response that addresses the following:

1) Compare one quality metric for managing chronic disease that applies to your practice setting to a metric that applies in a different practice setting (i.e. hospital nurse compared to home health nurse).

2) Evaluate how these quality metrics facilitate change and improve the management of chronic disease.

3) Take a stance on the efficiency of current automated trigger systems to help manage patient safety. Do you believe these to be proactive or reactive responses when educating patients on disease management?

 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 9: “Measuring and Improving Patient Experiences of Care”

Frith, K. H., Anderson, F., & Sewell, J. P. (2010). Assessing and selecting data for a nursing services dashboard. Journal of Nursing Administration, 40(1), 10–16. doi:10.1097/NNA.0b013e3181c47d45

This article highlights the benefits of nurses using dashboards to help with staffing issues. It considers the sharing of data that dashboard can facilitate from the perspectives of nurses, units, hospitals, and patients.

Grossmeier, J., Terry, P. E., Cipriotti, A., & Burtaine, J. E. (2010). Best practices in evaluating worksite health promotion programs. American Journal of Health Promotion, 24(3), TAHP 1–9.

In this article, the authors discuss how to measure success when analyzing worksite health promotion (WHP). They then cover how to organize these measurements, assess WHP programs, and determine factors related to best-practice evaluation frameworks.

Stanley, R., Lillis, K. A., Zuspan, S. J., Lichenstein, R., Ruddy, R. M., Gerardi, M. J., & Dean, J. M. (2010). Development and implementation of a performance measure tool in an academic pediatric research network. Contemporary Clinical Trials, 31(5), 429–437.

The details of this article focus on a multi-center research network that initiated an evaluation method using balanced scorecards. The first three years of the measurement tool’s implementation are covered, and the achievements and challenges are discussed.

Required Media

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

Note: The approximate length of this media piece is 10 minutes.

In this program, Barbara Epke and Carrie Brady discuss methods that health care organizations use to gather data for measuring outcomes, and explain how data are used to measure key indicators of quality and safety.

   

 
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Quality Measures To Improve Patient Safety 1 Dq 2

 In this week’s readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose proven quality measures to improve patient safety. 

 
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Quality Measurement By Health Care Professionals

Design a graphic organizer (such as a chart or table) that identifies a minimum of three quality measurement/improvement tools. Describe how they are used for measuring quality by at least four professionals in a health care organization. You must include at least one administrative health professional, one midlevel provider, one physician, and one auxiliary staff member.

 
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Quality Measurement And Assessment

 

  • Review Chapter 7 of the Sadeghi, Barzi, Mikhail, and Shabot course text. Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.
  • With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.

To complete:

Write a 3- to 5-page paper that includes:

  • An introduction to your quality improvement plan (Improving C.diff on Hematology/Oncology Unit), including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization
  • An overview of the current situation with regard to this quality improvement issue in the organization
  • A description of measures and indicators
  • A presentation on data related to this issue, including:
    • Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data
    • Methods for collecting and analyzing data in the future, including when you would do this
  • A description of realistic, evidence-based targets

Be sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. This section of the Course Project serves as the Portfolio Assignment for this course.

Due by Day 7 of Week 8.

 
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Quality Indicators

  

Quality Indicators

 How do you define quality as it pertains to health care and the practice of nursing? Some nurses may define quality as effective interdisciplinary teamwork that results in better patient-health outcomes, while hospital administrators may define quality as appropriately delegated responsibilities, completion of tasks, and effective patient flow. Due to the subjective nature of the term, quality is a topic of great debate.
 

In an effort to define quality in health care, standards have been developed to establish consistency and provide guidance. The National Database of Nursing Quality Indicators (NDNQI) outlines nursing-sensitive indicators that encompass measurement scales for quality of nurse professionals as well as quality of the services provided by nurses to patients. In this week’s Discussion, you evaluate the determinants of quality.m based on the NDNQI indicators and the theoretical underpinnings of these quality indicators. You apply nursing-sensitive indicators to your current setting and assess how each definition of quality contributes to the idea of quality overall.
 

To prepare:

  • Review      the NDNQI indicators presented in the Learning Resources that emphasize      quality. Focus on those indicators that pertain to your practice setting (Hospital).
  • Consider      the influence of early quality improvement theories and philosophies on      the development of those quality indicators.
  • Using      the Walden Library, locate at least two scholarly research articles that      discuss how quality indicators influence your practice setting.
  • Select      one definition of quality published by any peer-reviewed source that      particularly resonates with your thinking about quality.

By tomorrow 12-06-2017 by 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include the level one headings as numbered below:

post a cohesive scholarly response that addresses the following:

1) Identify two nurse-sensitive indicators of quality that relate to patient care and analyze the influence of early quality improvement theories and philosophies on the development of those indicators.  For this exercise, do not choose nurse sensitive indicators that relate to staffing levels. 

2) Find and cite at least 2 nursing research articles you located and evaluate how these indicators influence a practice setting (See attached PDF for the 2 Articles).

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 3: “Variation in Medical Practice and Implications for Quality”

Chapter 4: “QI Foundation, Processes, Tools and Knowledge Transfer Techniques”

Chaboyer, W., Johnson, J., Hardy, L., Gehrke, T., & Panuwatwanich, K. (2010). Transforming care strategies and nursing-sensitive patient outcomes. Journal of Advanced Nursing, 66(5), 1111–1119. doi: 10.1111/j.1365-2648.2010.05272.x

The authors of this article attempt to reduce medication errors, patient falls, and ulcers by using Transforming Care at the Bedside, which is a framework that values safety and reliability, creates a good work environment, is centered on the patient, and increases value. They conclude that these principles are able to positively affect their patients, but some aspects of the study may be inconclusive.

Gerritsen, D.L., & van Beek, A. P. A. (2010). The relationship between organizational culture of nursing staff and quality of care for residents with dementia: Questionnaire surveys and systematic observations in nursing homes. International Journal of Nursing Studies, 47(10), 1272–1282.

After briefly discussing the background of organizational culture, the study in this article focuses on how organizational culture affects quality of care in long-term care. It uses two independent measurements and determines that different styles of organizational culture affect the quality of care.

The American Nurses Association, Inc. (2011). Nursing-sensitive indicators. Retrieved from http://web.archive.org/web/20120921021800/http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1.aspx

From the American Nurses Association, this article discusses nursing-sensitive indicators. It provides a definition of the term and then describes the development process and indicator list.

American Nurses Association. (2011). National Database of Nursing Quality Indicators. Retrieved from http://www.nursingworld.org/

This website acts as a database for unit-specific nurse-sensitive information that comes from multiple health care organizations.

Agency for Healthcare Research and Quality. (n.d.) Retrieved from http://www.ahrq.gov/

The provided link takes you to the homepage of the Agency for Healthcare Research and Quality (AHRQ), where you can find information about improving safety and quality in the health care industry.

National Quality Forum. (2011). Retrieved from http://www.qualityforum.org/Home.aspx

Various members of the health care community can become members of the National Quality Forum (NQF) through this site. The nonprofit organization NQF aims to increase quality improvement for its members. 

The 2 Articles Selected

1. Storer Brown, D. (2016). Perspectives in Ambulatory Care. Ambulatory Care Nurse-Sensitive Indicators Series: Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments. Nursing Economic$, 34(3), 147-151.

2. Wilson, M. (2011). Addressing the problems of long-term urethral catheterization: Part 1. British Journal Of Nursing (Mark Allen Publishing), 20(22), 1418.

   

 
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Quality Indicators In Nursing

  

You use the required SON template.

SON Writing Template with Instructions 8_7_18.doc

2. You add the page numbers to the top right hand corner of your paper in the header. You are not required at this point to have a running header, but you can add one if you want to. If you do not know how to do this, please review the following YouTube video:

https://www.youtube.com/watch?v=ElVTBeAgVzU ;

3. You need a correctly formatted APA title page

4. You need to use section headings that align with your Blackboard grading rubric. Your first section heading will be the same as the title on your title page and is not bolded. All other section headings will need to be bolded. 

5. Your reference page should be a separate page. 

6. You are required to use two references (at a minimum) for this paper. You do need to cite your work using in-text citations correctly. If you want to add points to your work and exceed the expectations to receive a higher grade, you will use more than two references. You may only use one internet source and it must be cited correctly. Please do not put the URL in parentheses. 

7. Please keep your use of direct quotes at a minimum. In a good academic paper, only 10% of the in-text citations will come from direct quotes. So…for a paper this length, you may use one, but preferably none. Paraphrasing is the gold standard in academic work. You need to paraphrase the quote and then cite it. If you do choose to use a direct quote, remember that you then need to add a page number to the in-text citation. If you cite statistics, you also should include the page number. 

Examples: In-text Citation without a direct quote : (Smith, 2016) In-text citation from a direct quote or using a statistic: (Smith, 2016, p. 201)

If you need more help look at this site: https://owl.english.purdue.edu/owl/resource/560/02/ or there are tons of resources on writing in APA in the Walden Writing Center. You may access it by using the Academic Writing Icon on the left side of your paper. 

8. Please keep your paper at the correct length. If you assignment says 2-3 pages, that is how long your paper should be. of course, that does not include your title page or your Reference page. If you give me 6 pages, I will just assume you could not figure out what was important, so you gave me everything in the world. Not good! 

9. Your paper absolutely (100%) has to go through Safe Assign. I cannot accept a paper emailed to me. I suggest you submit your paper as early as possible. Sunday nights can require long waits for getting your paper back because there are so many students submitting them all at once. I do check your Safe Assign scores and your papers. Please make sure that all the work you do is your own. 

10. I love Grammarly, but I will not accept any papers with Grammarly comments still there in Track Changes. You must give me a clean copy of the paper. I love Grammarly as much as anyone, but if your paper has all those comments, I cannot add mine. 

Quality Indicator of choice is the PREVENTION QUALITY INDICATOR

All sources must be within last 5 years and professional and scholarly literature

Use the Walden Writing Center guidelines titled “Writing a Paper” and “Scholarly Writing: Overview” to do the following:

Draft a 2- to 3-page paper describing your selected QI in general (Quality Indicator of choice is the PREVENTION QUALITY INDICATOR) and then describe how this QI has the potential to improve the quality, safety, and outcomes of your patients and their families.

Describe the current data available and leadership’s goal for improvement.

Draft a solution using 2 sources from professional and scholarly literature to support your proposal.

Use the 2000/3000 AWE Level Assignment Template in the resources for this week to complete your Assignment.

Use in-text citations to support your paper. Use essay-level writing skills, including the use of transitional material and organizational frames.

PLEASE FOLLOW GUIDELINES.

 
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Quality In Nursing

  1. A eight (8) page APA style paper on Quality and Safety in Nursing.
  2. Must have a minimum three (3) peer review articles Published within the last 10 years, referenced in the paper.
  3. Must be typed and double spaced.
  4. The main body of the paper must be a minimum 5 pages in length.
  5. The peer review articles that are used, must be printed out and attached to the paper as an appendix.

Due Date 4/8/2019

 
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Quality In Medical Care

Assignment 

Complete ALL of the bullet points below:

  • Definitions of the quality of medical care are no longer left to clinicians who decide for themselves what technical performance constitutes “good care.” What are the other dimensions of quality care and why are they important? What has changed since the days when “doctor knows best?”
  • Quality in medical care may be defined as achieving the greatest benefit at the lowest risk. How have the priorities of our health care system and the allocation of resources addressed this goal?
  • Contrast the definitions of implicit and explicit criteria in assessing health care quality. How is each type of criterion useful in quality assessment?

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

  

Sultz, H.A., & Young, K.A., (2017). Health care USA: Understanding its organization and delivery (9th ed.). Boston: Jones & Bartlett,

 
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