Clinical Set up Quality Plan

Bigkente

For your final project, you will develop a quality plan (also known as a performance improvement plan) for a healthcare organization. You may develop this plan for an acute-care facility, a same-day surgery facility, an ambulatory care organization, a clinic setting, a long-term care facility, or some other type of healthcare organization you may be familiar with given your own professional healthcare work experience.

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additional info from the InstructorFive sections are required in your final project paper.  Each of them has several components.  Use each section’s titles as a subheading and then discuss each element as it appears in the rubric.  That will help you stay on track to ensure you are covering each of the required sections.  FAQs:Purpose and Quality Statement A. Explain the purpose of implementing a quality plan. In your explanation, consider how accreditation standards drive an organization’s patient safety and quality initiatives. It’s not about the global world of accreditation – make it specific to the organization that is the focus of your quality plan. B. Determine the healthcare organization’s commitment to patient safety and quality. Consider the mission statement and policies of the organization to guide your answer. Again, the focus is on your specific organization.  How do the commitment to patient safety and quality support the mission statement? C. Describe the various stakeholder groups with a vested interest in the performance-improvement process (e.g., nursing leadership, departmental directors). Consider utilizing an organizational chart to depict these stakeholders  (a suggestion in the final paper, not a requirement). If you include an org chart, make it professional looking (not a table – See the directions provided in the announcement on 12.15.2020).  Don’t forget patients and their families and loved ones.  This question about stakeholders is specific to your QIP; rather than every person in the organization. D. Develop a quality statement that outlines the objectives of the quality plan. – This is a quality statement that you have developed for this paper.  It is not a restatement or a copy and paste of your organization’s web site’s mission statement. Review the rubric and see if what you are writing addresses each area as given.  Then go on to section II and follow the same steps.If there is something that needs more, now is the time to address that.  Remember, this is a TurnItIn project.  Please check your TurnItIn score and make revisions as necessary to get it down.  If your score shows as Yellow or Red (Gasp!), go back and revise to lower it until it is in the Green.  You can submit as many times as you wish before the deadline, editing to get that similarity matching score down to an acceptable level.  Be sure to check your spelling and punctuation before you submit.  Submit your paper as a Word doc, not a .pdf or in Pages.This paper’s page requirement is 12 to 14 pages, not including the title page or reference page(s).  Writing 20 pages does not mean your submission is twice as good. Do not include pages and pages of charts and graphs (e.g., the entire Hospital Compare or PDSA assignment)- ask yourself if what you are including adds value to your submission.  Unless the answer is a resounding yes, leave it out. This paper is about the QIP you have created; that should be the bulk of your submission. Be succinct in your writing.  This is not the place for the history of the Affordable Care Act or accreditation since Day One of the Joint Commission.  What are you trying to improve, how will you accomplish it, how will you measure it to know if it has been successful, what timeline (both beginning and end dates are required), and so forth?  Avoid goals like “improve communication” or “make patients safer.” Those types of statements are so general as to be almost meaningless.  QI is specific, measurable, and focused.  Make sure your paper reflects that.  If you are stuck on a section, go back and look at the announcements or examples posted for that week. At the graduate level, the expectation is you will synthesize the information you have read, rather than merely using direct quotes from another. Do not use the copy/paste method (i.e., sentence, reference, sentence, reference).Remember to look at the age of your sources as you write.  Using ten or 15-year-old resources when discussing new technology does not support the discussion in your narrative. Healthcare has changed dramatically in the past several years.  Look for current references to support or contrast your statements.Don’t be late!  The 10% penalty on this one is significant! 

The final project for this course is the creation of a quality plan—also known as a performance improvement plan—for a healthcare organization. You may

develop this plan for an acute-care facility, a same-day surgery facility, an ambulatory care organization, a clinic setting, a long-term care facility, or some other

type of healthcare organization you may be familiar with given your own professional healthcare work experience. In addressing the critical elements for this

assignment, all APA formatting and citation requirements apply. Further, as this is a scholarly initiative, you must use peer-reviewed or evidence-based sources

for this assignment. Data may be derived from public healthcare databases, or you may use data from your own healthcare organization. The final product

represents an authentic demonstration of competency because quality plans are used as tools by healthcare facilities to provide frameworks for collaboratively

planned, systematic, and organization-wide approaches to improvement. These quality plans are always kept on-site, updated yearly, and reviewed by surveyors

and accreditors.

The project is divided into two milestone journals, which will be submitted at various points throughout the course to scaffold learning and ensure quality final

submissions. These milestones will be submitted in Modules Four and Seven. In these journal assignments, you will reflect on the progress you have made on

your project thus far and ask any clarifying questions that will assist you as you progress on your project. These assignments will also provide you with the

opportunity to submit drafts of your project so that you can receive feedback on them from your instructor. In addition, there are several short papers that you

will complete throughout the course which will help you to understand course concepts, as well as activities that will allow you to practice working with data. All

of these concepts should be incorporated into the final project. The final product will be submitted in Module Nine.

In this assignment, you will demonstrate your mastery of the following course outcomes:

? Determine the impact of regulatory requirements and accreditation standards on quality planning for improving patient care

? Assess information management systems and patient-care technologies for their ability to promote care coordination and improve patient safety

? Recommend performance-improvement initiatives using quality program requirements and quality data metrics

? Analyze healthcare reimbursement policies for the impact on patient safety and quality initiatives

? Recommend leadership strategies that promote interdisciplinary collaborative care within healthcare organizations in the healthcare ecosystem

Prompt

Specifically, the following critical elements must be addressed:

I. Purpose and Quality Statement: In this section, you will define patient safety and the purpose of a quality plan.

A. Explain the purpose of implementing a quality plan. In your explanation, consider how accreditation standards drive an organization’s patient

safety and quality initiatives.

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B. Determine the healthcare organization’s commitment to patient safety and quality. Consider the mission statement and policies of the

organization to guide your answer.

C. Describe the various stakeholder groups that have a vested interest in the performance-improvement process (e.g., nursing leadership,

departmental directors). Consider utilizing an organizational chart to depict these stakeholders.

D. Develop a quality statement that outlines the objectives of the quality plan.

II. Status of Quality Tools and Standards: In this section, you will review the status of the information management system and accreditation.

A. Describe the current status of accreditation based on recent accreditation survey reports.

B. Analyze the current information management systems and patient care technologies for their ability to collect data used to report quality

measures and accreditation requirements. Are these systems and technologies adhering to the appropriate policies and regulations to meet the

needs for accreditation and compliance?

C. Explain the impact of meaningful-use implementation at the organization as it pertains to patient safety and quality.

III. Measures and Benchmarks: In this section, you will identify and evaluate the metrics that can be used to measure quality and patient safety at your

organization.

A. Outline how current performance-improvement data and initiatives are tracked through the organization, starting at the department level.

Consider using a visual aid to depict this through specific types of data.

B. Compare how the organization is doing in key safety measures using appropriate benchmark data.

C. Analyze the metrics to determine if the healthcare organization demonstrates compliance for accreditation standards.

D. Explain how reimbursement data is used to identify patient safety and quality issues. Consider the role of core measures in your response.

E. Explain the impact of reimbursement data on the accreditation status.

F. Describe the impact of reimbursement policies on patient safety and quality initiatives.

G. Discuss how leadership is involved in the dissemination and application of quality data at this healthcare organization.

IV. Process Improvements: In this section, you will develop specific actions to address your analysis of key patient safety and quality metrics.

A. Summarize recommendations based on the analysis of the current organization.

B. Develop goals based on the evaluation of the current organization quality measurements and improvement needs.

C. Recommend new technology that could improve one of the patient safety or quality concerns identified in Sections II and III. Explain your

recommendation.

D. Describe leadership strategies that are needed to ensure stakeholder and community input into the quality program.

E. Recommend a policy change to solve the patient safety and quality issues identified. Consider what stakeholders you would need to collaborate

with to execute the policy changes.

V. Evaluation and Reporting: In the last section, you will develop a timeline and make recommendations for evaluating and reporting key measures of

success to stakeholders and accrediting bodies.

A. Create an evaluation plan using principles from Plan-Do-Study-Act (PDSA). Include a project timeline in your plan.

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B. Justify a timeline for evaluation of performance-improvement activities. Consider using a visual aid.

C. Explain how to measure the successful implementation of the new technology suggested in the Process Improvements section.

D. Describe the changes to the processes for managing data within the organization for accreditation reporting.

Milestones

Milestone One: Check-in Journal

In Module Four, you will submit a check-in journal assignment. The journal assignment should include a reflection of the status of your final project. You also

have the opportunity to submit a draft of the Purpose and Quality Statement and Status of Quality Tools and Standards sections of your final project to your

instructor for review and feedback. This milestone will be graded with the Milestone One Rubric.

Milestone Two: Check-in Journal

In Module Seven, you will submit a check-in journal assignment. The journal assignment should include a reflection of the status of your final project. You also

have the opportunity to submit a draft of the Measures and Benchmarks, Process Improvements, and Evaluation and Reporting sections of your final project to

your instructor for review and feedback. This milestone will be graded with the Milestone Two Rubric.

Final Submission: Quality Plan

In Module Nine, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should

reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Rubric. 

Intentional Rounding Project Status  My final project is the implementation of intentional nursing rounds in the acute care facility to reduce the rates of patient falls and increase patient safety. This project will be carried out in a single unit of the acute center for two months before being evaluated and determining whether it is effective and could be implemented in the rest of the facility. The main goals of this plan include a reduction in patient falls by 20%, 100% adherence to intentional rounding, and reduction of the length of stay. This project thus seeks to improve patient safety in the healthcare organization by reducing patient falls. The current progress in my project has outlined the relevant action plan for achieving the desired goals.   My action plan outlines the status of my project as planned to be implemented in the acute care setting. First, the intended intervention is intentional nursing rounds which will be conducted hourly and records maintained for the activities conducted and outcomes of the processes. Secondly, my plan includes training nurses in the intervention. Training will be conducted on the relevant nursing activities to be included in intentional rounding and how to conduct them effectively in the healthcare organization. Project observers will also be trained in the processes and the required observation of the intentional rounding process. Training will then pave the way for project implementation. This action plan will require minimal resources for supporting project records and evaluation. I have developed the action plan for the project and the next step would be to implement it.   Overall, the project planning process has equipped me with relevant project management skills which are crucial for healthcare projects and can be transferred to similar projects. For instance, I have learned how to conduct a needs assessment for a project based on project goals. I have also understood how to create an action plan for a project and the methods that can be used to evaluate it. On the other hand, I need to improve my interprofessional collaborative skills which could be useful in implementing the project. The status of my project presents progress towards safety improvement in the acute care setting.