NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Course Project Part 4(Grading Rubic and InstructionsAttached)
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Project 2: Promoting Health Care Quality
Section 4: Quality Improvement Strategies
Through your work on Section 3 of the Course Project, you have examined the gap between current performance and evidence-based targets and considered how addressing this gap relates to organizational priorities and large-scale aims for quality improvement.
In this section of the Course Project, you begin to think about quality improvement strategies that could help to bridge this gap. As noted in the Sadeghi, Barzi, Mikhail, and Shabot text, this is referred to as performance-driven planning.
Since the publication of the Institute of Medicine’s report “Crossing the Quality Chasm,” a good deal of attention has been paid to the need to examine processes that contribute to outcomes (Ernst, Wooldridge, Conway, Dressman, Weiland, Tucker, and Seid). As the USAID has noted, interventions “will not create the desired outcome to improve the quality of care unless the overall process of care delivery is also improved.” Therefore, attention to process redesign is a central aspect of cultivating strategies for improvement.
Throughout this course you have been considering the relationship between structure, process, and outcomes as it relates to health care quality. Looking at outcomes, alone, may not tell the “whole story.” For instance, if you are concerned with improving fall rates, evaluating the process—related activities or practices—can help you identify factors that contribute to outcomes and develop strategies for improving them.
For this section of your Course Project, you create a process map to examine a current process related to your quality improvement issue. You will use the results of the process mapping to redesign a process to help minimize or close the performance gap(s). As you proceed, keep in mind the importance of maintaining a patient-centered focus so the patient experience is not negatively affected by any changes in process.
To prepare:
Refer to the modified Donabedian model (access, structure, process, outcome, and patient experience) presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text.
Recall the performance targets that you identified for Section 3 (in Week 6). What does the recommendation that performance-driven planning should “begin with the end in mind” suggest given your established goals?
Review the information presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text, and think about how you would assess the organization’s strengths and weaknesses related to the performance gaps you identified in Section 3
Based on the above, start to think of specific evidence-based strategies that could be implemented to close/minimize the performance gaps you have identified. Consider both interventions (what) and processes (how). Focus on strategies that are supported by the latest research and could create systems-level change. These may be tentative for now, but be sure to identify at least one that specifically lends itself to a change in process (i.e., practice, protocol, pathway, activity). To complete this Assignment, you will create a process map and write a paper describing quality improvement strategies.
Review the instructions provided in the Learning Resources for creating a process map.
With your quality improvement issue in mind, as well as the other work you have completed on your Course Project thus far, think about how creating a process map could help you to better understand your quality improvement issue and redesign an associated process.
Create a process map using Microsoft Word or PowerPoint.
Refine the strategies for promoting systems-level change to minimize or close the performance gap(s) that you began to think about in Week 7. As part of this, identify a way to redesign at least one process based on your analysis of the process map that you have created.
To complete:
Write a 2- to 3-page paper in which you describe quality improvement strategies that you selected related to your quality improvement issue.
Finalize your process map, which will be submitted along with the paper.
Submit your paper and process map.
Use the references of Week 6 and 7 and 8 discussion.
NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Course Project Part 4(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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