Make a quality initiative proposal (7-10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposal.

Introduction

Health care providers are perpetually striving to improve care quality and patient safety. To accomplish enhanced care, outcomes need to be measured. Next, data measures must be validated. Measurement and validation of information support performance improvement. Health care providers must focus attention on evidence-based best practices to improve patient outcomes.

Health informatics, along with new and improved technologies and procedures, are at the core of all quality improvement initiatives. Data analysis begins with provider documentation, researched process improvement models, and recognized quality benchmarks. All of these items work together to improve patient outcomes. Professional nurses must be able to interpret and communicate dashboard information that displays critical care metrics and outcomes along with data collected from the care delivery process.

Overview

A basic principle of quality measurement is: If you can’t measure it, you can’t improve it.

–Agency for Healthcare Research and Quality (2021)

In the previous assessment, you analyzed the effectiveness of an existing quality initiative. Now that you’ve done that, this assessment gives you experience interpreting and communicating dashboard data for the purpose of making a quality initiative proposal of your own. And you’ll make your proposal through a PowerPoint presentation, including using speaker notes in the Notes section of the slides, much like you might in your health care setting.

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 QI 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.

Instructions

In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This 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 an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a 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 standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).

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 Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
  • You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Complete the following steps for your proposal:

  • Analyze data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
    • Evaluate the quality of the data.
  • Outline a QI initiative proposal based on the selected health issue or area of concern and supporting data analysis to improve identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of a QI process and your assessment.
    • Identify the target areas of improvement and outcome measures.
    • Include the QI model that will be utilized.
    • Specify evidence-based strategies that will be utilized.
  • Integrate interprofessional perspectives and actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
    • Specify roles and responsibilities.
  • Apply effective collaboration strategies to promote QI of interprofessional care.
    • Include specific communication tools.
  • Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Be sure that your proposal, at minimum, addresses each of the bullet points. You may also want to read the Data Analysis and Quality Improvement Initiative Proposal Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX] document for additional clarification about things to consider when creating your assessment.

 

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Analyze data to identify a health care issue or area of concern as it relates to a state, national, or accreditation benchmark requirement.
    • Outline a quality improvement initiative proposal based on a selected health care issue or area of concern and supporting data analysis to improve identified dashboard metrics.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
    • Integrate interprofessional perspectives and specify actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Apply effective collaboration strategies to promote quality improvement of interprofessional care.
    • Create a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Reference

Agency for Healthcare Research and Quality. (2021). Preventing falls in hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html

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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.

o   Assess the stability of processes or outcomes.

o   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.

o   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.

o   Identify target areas for improvement.

o   Define what processes can be modified to improve outcomes.

o   Propose strategies to improve quality.

o   Define interprofessional roles and responsibilities as they relate to the QI initiative.

o   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.

o   Identify the type of data you are analyzing (from your institution or from the media piece).

o   Discuss why the data matters, what it is telling you, and what is missing.

o   Analyze dashboard metrics and provide the data set in the proposal.

o   Present dashboard metrics related to the selected issue.

o   Delineate any problematic variations or performance failures.

o   Assess the stability of processes or outcomes.

o   Evaluate the quality of the data and what can be learned from it.

o   Identify trends, outcome measures and information needed to calculate specific rates.

o   Analyze what metrics indicate opportunities for quality improvement.

2.      Outline a QI initiative proposal based on a selected health issue and supporting data analysis.

o   Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.

o   Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.

o   Identify target areas for improvement, and define what processes can be modified to improve outcomes.

o   Propose evidence-based strategies to improve quality.

o   Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.

o   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.

o   Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.

o   Explain how you would you make sure that all relevant roles are fully engaged in this effort.

o   Explain what non-nursing concepts would you incorporate into the initiative?

o   Identify how outcomes to measure the effect of the intervention affect the interprofessional team.

o   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.

o   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.

o   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.

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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