NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Course Project Part 3(Grading Rubic and InstructionsAttached)

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Project 1:


Promoting Health Care Quality


Section 3: Quality Measurement and Assessment

Measuring and assessing quality provides a foundation for identifying needs for improvement, developing effective interventions, and then monitoring progress toward desired results.

In the Sadeghi, Barzi, Mikhail, and Shabot text, the authors assert that an effort to improve quality “calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind, and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance” (p. 182).

Having this “end in mind” can provide justification for dedicating valuable resources toward the effort, and help to lay a clear, concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.

In this section of the Course Project, you focus on what you would measure—and how you would measure it—relative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.

Through your work in previous weeks of this course, you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.

As you deepen your analysis of your selected organization, consider how the information presented in this week’s Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.


To prepare:

Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this week’s Learning Resources).

Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations, including the IOM’s six aims for quality improvement.

Based on this review and your knowledge of the organization that you have selected, determine appropriate measures and indicators of performance related to your identified quality improvement issue.

Consider how you could gather and use historical evidence of the organization’s performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data, including those currently in use by the organization (e.g., chart audit data, staff surveys, quality indicators that are monitored, observations). If possible, examine actual data to assess your selected organization’s performance related to the issue.

Think about what, specifically, you would like to achieve related to this issue. Establish realistic, evidence-based quality performance targets.

Analyze gap(s) between the organization’s current performance and the performance targets.

As you do this, you may wish to create a graphic organizer/alignment chart for your own use that illustrates:

The measures and indicators that you would evaluate

Current and historical data related to this quality issue—either actual data or methods for how you would collect and analyze the data

Methods for collecting and analyzing data in the future (including when you would do this)

Realistic, evidence-based targets

To complete this Assignment, you will write a paper introducing your quality improvement plan.

Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:

What is the overall purpose, or aim, of doing this work?

What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?

What value would this work add to the organization?

How would this work improve practice and create outcomes with impact?

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, 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.

Resources: Please use resources of Week 6 Discussion and Week 7 Discussion of 6231

Link to part 1 –

Link to part 2 –

Link to week 7 disc –

Link to Week 6 Disc –

NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Course Project Part 3(Grading Rubic and InstructionsAttached)
MSN Evaluation Criteria for Applications and Formal Papers Criteria Levels of Achievement Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement QUALITY OF WORK SUBMITTED – 1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0–30 Points) 30 to 30 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the Assignment topics 25 to 29 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the Assignment topics 20 to 24 points Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the Assignment topics. 16 to 19 points Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed. 0 to 15 points Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed. QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0–5 Points) 5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria. 5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria. 4 to 4 points Purpose of the Assignment is stated, yet is brief and not descriptive. 1 to 3 points Purpose of the Assignment is vague. 0 to 0 points No purpose statement was provided. ASSIMILATION AND SYNTHESIS OF IDEAS The extent to which the work reflects the student’s ability to- 1. Understand and interpret the Assignment’s key concepts (0–10 Points) 10 to 10 points Demonstrates the ability to critically appraise and intellectually explore key concepts. 9 to 9 points Demonstrates the ability to critically appraise and intellectually explore key concepts. 8 to 8 points Demonstrates a clear understanding of key concepts. 5 to 7 points Shows some degree of understanding of key concepts. 0 to 4 points Shows a lack of understanding of key concepts, deviates from topics. ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e., video, required readings, and textbook) and credible outside resources (0–20 Points) 20 to 20 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3–4 course resources to support point of view. 15 to 19 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3–4 course resources to support point of view. 10 to 14 points Integrates specific information from 1 credible outside resource and 3–4 course resources to support major points and point of view. 3 to 9 points Minimally includes and integrates specific information from 2–3 resources to support major points and point of view. 0 to 2 points Includes and integrates specific information from 0–1 resource to support major points and point of view. ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e., video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0–20 Points) 20 to 20 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. 18 to 19 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. 16 to 17 points Summarizes information gleaned from sources to support major points, but does not synthesize. 14 to 15 points Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped. 0 to 13 points Rarely or does not interpret, apply, and synthesize concepts, and/or strategies. WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused—neither long and rambling nor short and lacking substance. (0–5 Points) 5 to 5 points Paragraphs and sentences follow writing standards. 5 to 5 points Paragraphs and sentences follow writing standards. 4 to 4 points Paragraphs and sentences follow writing standards 80% of the time. 3 to 3 points Paragraphs and sentences follow writing standards 70% of the time. 0 to 2 points Paragraphs and sentences follow writing standards <70% of the time. WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0–5 Points) 5 to 5 points Uses correct grammar, spelling, and punctuation with no errors. 5 to 5 points Uses correct grammar, spelling, and punctuation with no errors. 4 to 4 points Contains a few (1–2) grammar, spelling, and punctuation errors. 3 to 3 points Contains several (3–4) grammar, spelling, and punctuation errors. 0 to 2 points Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list (0–5 Points) 5 to 5 points Uses correct APA format with no errors. 5 to 5 points Uses correct APA format with no errors. 4 to 4 points Contains a few (1–2) APA format errors. 3 to 3 points Contains several (3–4) APA format errors. 0 to 2 points Contains many (≥ 5) APA format errors. © 2016 Laureate Education, Inc. Page 3 of 3

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