Data Analysis and Quality Improvement Initiative Proposal
Make a quality initiative proposal (10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposal. For each slides there should be a detailed speaker’s note describing items on each slide so that the viewer can accurately interpret the deeper meanings and intentions Slide 1 The title slide : Data Analysis And Quality Improvement Initiative Proposal , Name of student etc. The last slide should be a reference page with a minimum of six scholarly writers within five years. You should follow the six-by-six principle which mean that you should have no more than six bullet points per slide and no more than six words for bullet point. Any additional information should be included in speaker notes . Also include quality images and graphics to reinforce and compliment your message. Your assessment should also meet the following requirements:
Length of submission: 10 PowerPoint slides, with speaker’s notes, not including title slide and attached reference list. Balance text with visuals. Avoid text-heavy slides. Use speaker’s notes for additional content..Number of references: Cite a minimum of six sources (no older than five years, of scholarly or professional evidence to support your evaluation, recommendations, and plans.
Some sample scenarios used for data analysis
A large regional hospital has eight med-surg units, and there’s been a spike in the CLABSI rates at one of the units.
To determine the cause of this infection spike, what questions should we ask when we analyze the data?(a) Are there any data gaps (b) Are there trends across time or between units(c)Is the data current (d)Has there been unusual turnover or other unique process factors on the affected unit?
A large regional hospital wants to compare the CLABSI rate data in its eight med-surg units with external benchmarks.
Which of the following professional organizations provide useful benchmarks in this scenario?
(a)hospital Consumer Assessment of Healthcare Providers And Systems (HCAHPS)
(b)National Quality Forum(NQF)
©Centers for Medicare and Medicaid Services(CMS)quality measures
The chief nursing officer at a large regional hospital has asked the nursing director to publish a quality improvement initiative proposal to reduce the number of falls.
Which of the following are important parts of a quality improvement initiative proposal?
(a)outcome measure (b)A timeline (c)Evidence -based resources (d)Communication plan
We always remember to prioritize patient safety when we publish quality improvement proposals, but sometimes it’s harder to remember to think about cost effectiveness and improvements to work-life quality.
Which of the following goals directly improve work-life quality?
(a)Reduce number of call ins (b)Increase job satisfaction (c)decrease staff turnover
Mr Joe is designing a quality improvement initiative to reduce the number of 30-day hospital readmissions on his clinical unit.
Which of the following would be effective collaboration strategies to promote quality improvement of interprofessional care.
(a)structured family meetings (b)shared discharge planning (c)patient rounds (d)safety huddles
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.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 two options:
Instructions
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 one of the links in the following reading list to access a dashboard or metrics for a health care facility to develop the QI initiative proposal:
Medicare.gov
Title:Medicare.gov
Publication Date:n.d.
Healthgrades
Title:Healthgrades
Publication Date:n.d.
The Leapfrog Group
Title:The Leapfrog Group
Publication Date:n.d.
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 7 edition.
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;
Guiding Questions
Data Analysis and Quality Improvement Initiative Proposal
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Data Analysis and Quality Improvement Initiative Proposal assessment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not USE this in this document as your assessment submission.This is just a sample document for additional clarification about things to consider when creating your assessment.
Analyze data to identify a health care issue or an area of concern.
● What data does your institution gather? (Or, what data were provided in the media piece?)
● What is the quality of the data, and what can be learned from it? What does it tell you? What is missing?
● What is an organized way of looking at different data outputs?
● What metrics indicate opportunities for quality improvement?
● What are the trends? (Existence of data does not necessarily equate to a trend.)
● What are the outcome measures? What information do you need to calculate specific rates?
● Assess the stability of processes or outcomes. Are the outcomes fairly predictable? Identify any problematic variations or performance failures.
● Include the selected data set that was analyzed in the proposal. This could be a table or chart.
Outline a quality improvement initiative proposal based on a selected health issue or area of concern and supporting data analysis.
● What benchmarks align to existing quality improvement initiatives set by local, state, or federal health care policies or laws?
● What quality initiatives currently exist (if any) related to the selected issue? Why are they insufficient?
● Identify target areas for improvement.
● Define what processes can be modified to improve outcomes. You may find it helpful to review models for quality improvement initiatives in Week 4.
● Identify evidence-based strategies to improve quality.
● Evaluate quality improvement initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
● Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
● Define interprofessional roles and responsibilities as they relate to the data and the quality improvement initiative.
● How would you make sure that all relevant roles are fully engaged in this effort?
● What non-nursing concepts would you incorporate into the initiative?
● How would outcomes to measure the effect of the intervention affect the interprofessional team?
● Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. How is work-life quality improved or enriched by the initiative?
Apply effective communication strategies to promote quality improvement of interprofessional care.
● What kind of interprofessional communication strategies will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative?
● What types of communications would you recommend in addition to writing?
● Are there any communication models (SBAR) you would include in your initiative proposal?
Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA 7 edition
● Is your analysis logically structured?
● Is your analysis 10 PowerPoint slides, with speaker notes (not including title slide and attached reference list)?
● Is your writing clear and free from errors?
● Did you use a minimum of six sources? Were they published within the last five years?
● Are they cited in current APA 7 format throughout the plan?
● Have you included an attached reference list?
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
Criterias that have to be fulfilled
Criterion 1 Analyzes data to identify a health care issue or area of concern as it relates to state, national, or accreditation benchmark requirements. and evaluates the quality of the data.
Criterion 2 Outlines a quality improvement initiative proposal based on a selected health care issue or area of concern and supporting data analysis, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the proposal).
Criterion 3 Integrates interprofessional perspectives and specifies needed actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality, and identifies assumptions on which the suggestions are based.
Criterion 4 Applies effective collaboration strategies to promote quality improvement of interprofessional care, and identifies assumptions on which the suggestions are based.
Criterion 5 Creates a persuasive, coherent, and effective audiovisual presentation. Integrates relevant sources to support arguments, correctly formatting citations, and uses effective visuals and detailed descriiptive speaker’s notes.
Performance Dashboards Resources
These resources provide extensive examples of performance dashboards and the questions arising from their integration to improve patient-safety practices. You’ll use data and benchmarks as part of your assessment.
Title:Use, perceived usability, and barriers to implementation of a patient safety dashboard integrated within a vendor EHR.
Author:Bersani, K., Fuller, T. E., Garabedian, P., Espares, J., Mlaver, E., Businger, A., Chang, F., Boxer, R. B., Schnock, K. O., Rozenblum, R., Dykes, P. C., Dalal, A. K., Benneyan, J. C., Lehmann, L. S., Gershanik, E. F., Bates, D. W., & Schnipper, J. L.
Journal Title:Applied Clinical Informatics
Publication Date:2020
Volume:11
Issue:1
Start page:34 End page:45
Dashboards and report cards: Using staff performance to drive outcomes.
Title:Dashboards and report cards: Using staff performance to drive outcomes.
Author:Piech, L. K., Burke, C., & Johansen, M. L.
Journal Title:Nursing Management
Publication Date:2021
Volume:52
Issue:3
Start page:10 End page:13
Title:
WebM&M: Case studies.
Author:Agency for Healthcare Research and Quality.
Publication Date:2021
Interprofessional Communication
These resources show the role of communication and training in successful teamwork. They provide details of what it takes to integrate communication tools, and highlight the importance of empowering nurses.
Title:Perspectives about interprofessional collaboration and patient-centred care.
Author:Dahlke, S., Hunter, K. F., Maya, R. K., Negrin, K., Fox, M., & Wagg, A.
Journal Title:Canadian Journal on Aging
Publication Date:2020
Volume:39
Issue:3
Start page:443 End page:455
Title:Using interprofessional simulation with telehealth to enhance teamwork and communication in home care.
Author:Keiser, M., Turkelson, C., Smith, L., & Yorke, A.
Journal Title:Home Healthcare Now
Publication Date:2022
Volume:40
Issue:3
Start page:139 End page:145
Title:Interprofessional team work and collaboration: Working together for the good of the patient.
Author:Ulrich, B.
Journal Title:Nephrology Nursing Journal
Publication Date:2021
Volume:48
Issue:2
Start page:109 End page:114
Leadership:
These resources look at the role of nurse managers, and also all nurses in playing leadership roles. They look at this not just from the perspective of increased patient safety, but nurse retention as well.
Title:CAHPS hospital survey.
Author:Hospital Consumer Assessment of Healthcare Providers and Systems.
Publication Date:2022
LEADERSHIP
Title:Self-leadership strategies for nurse managers.
Author:Goldsby, E. A., Goldsby, M. G., & Neck, C. P.
Journal Title:Nursing Management
Publication Date:2020
Volume:51
Issue:3
Start page:34 End page:40
Title:Nurse managers’ leadership, patient safety, and quality of care: A systematic review.
Author:Lee, S. E., Hyunjie, L., & Sang, S.
Journal Title: Western Journal of Nursing Research
Publication Date:2022
Volume:45
Issue:2
Start page:176 End page:185
Work Life Quality
These resources explore different aspects of creating healthy work environments.
Title:System-level improvements in work environments lead to lower nurse burnout and higher patient satisfaction.
Author:Carthon, M. B. J., Hatfield, L., Brom, H., Houton, M., Kelly-Hellyer, E., Schlak, A., & Aiken, L. H.
Journal Title:Journal of Nursing Care Quality
Publication Date:2021
Volume:36
Issue:1
Start page:7 End page:13
Title:Creating healthful work environments to deliver on the Quadruple Aim.
Author:Grant, S., Davidson, J., Manges, K., Dermenchyan, A., Wilson, E., & Dowdell, E.
Journal Title:JONA: The Journal of Nursing Administration
Publication Date:2020
Volume:56
Issue:6
Start page:314
End page:321