Quality Improvement in a Medical Setting
39615Assignment: Quality Improvement in a Medical Setting
Improvement in quality and safety should be considered a core organizational strategy. Leading that change is not always easy. A road map for change is helpful in managing organizational change. Kotter’s (1995, 1996; as cited in Joshi et al., 2014) model for change is a realistic framework to manage quality improvements. The eight steps of Kotter’s theory include 1) unfreezing the old culture; 2) forming a powerful guiding coalition; 3) developing a vision and strategy; 4) communicating a vision and strategy; 5) empowering employees to act on the vision and strategy; 6) generating short-term wins; 7) consolidating gains and producing more change; and 8) refreezing new approaches in the culture (Joshi, et.al, 2014, page numbers).
In this Assignment, you will analyze Emergency Department data and other resources to identify areas where the care and services provided are not up to state or national comparisons. You will also address how you would improve the substandard performance indicators.
To prepare:
Analyze the Emergency Department HCAHPS Data and other resources in the Learning Resources.
Emergency Department HCAHPS Data
The Assignment:
The HCAHPS data for the Emergency Department would indicate there are areas where the care and services are not up to par, as compared to state or national standards.
Using Kotter’s work as described in Chapter 16 of your text, and other change models from the reading, write a 3- to 4-page (excluding title page and references) analysis of the performance data for the Emergency Department, comparing the medical care and services to state and/or national standards. Provide recommendations for strategies to improve the Emergency Department substandard performance indicators.
Note: Your Assignment must be written in standard edited English. Be sure to support your work with at least five high-quality references, including two from peer-reviewed journals. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct. This Assignment will be graded using this rubric: Week 9 Assignment Rubric (PDF). Your Assignment should show effective application of triangulation of content and resources in your conclusion and recommendations.
By Day 7
Submit your Assignment.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.
Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Resources
Required Readings
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2014). The healthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago, IL: Health Administration Press
Chapter 16, “Implementing Quality as the Core Organizational Strategy” (pp. 393–419)
Chapter 17, “Implementing Healthcare Quality Improvement: Changing Clinician Behavior” (pp. 423–442)
Chapter 18, “The Quality Improvement Landscape” (pp. 455–494)
Adams, L. Y., & Maykut, C. A. (2015). Bullying: The antithesis of caring acknowledging the dark side of the nursing profession. International Journal of Caring Sciences, 8(3), 765–773.
Note: Retrieved from the Walden Library databases.
Albrecht, R. M. (2015). Patient safety: The what, how, and when. The American Journal of Surgery, 210(6), 978–982.
Note: Retrieved from the Walden Library databases.
Bellack, J. P., & Thibault, G. E. (2016). Creating a continuously learning health system through technology: A call to action. Journal of Nursing Education, 55(1), 3–5.
Note: Retrieved from the Walden Library databases.
Joseph, M. L., Rhodes, A., & Watson, C. A. (2016). Preparing nurse leaders to innovate: Iowa’s innovation seminar. Journal of Nursing Education, 55(2), 113–117.
Note: Retrieved from the Walden Library databases.
The Joint Commission. (2014). 2015 hospital national patient safety goals. Retrieved from http://www.jointcommission.org/assets/1/6/2015_HAP_NPSG_ER.pdf
The Joint Commission. (n.d.). 2015 Hospital National Patient Safety Goals. Retrieved from http://www.jointcommission.org/assets/1/6/2015_HAP_NPSG_ER.pdf. Used with permission of The Joint Commission.
Document: Emergency Department HCAHPS Data (PDF)
This document contains data needed to successfully complete this week’s Assignment, including hospital Emergency Department data as compared to state and national standards.
These 2 Below worksheets is needed to complete the assignment{
Emergency Department HCAPHS Data
Emergency Department
State Average
National Average
Average time patients who came to the ED with broken bones had to wait to before getting medication
47 minutes
46 minutes
54 minutes
Average (median) time patients spent in the ED before they were admitted to the hospital as an inpatient
246 minutes
218 minutes
200 minutes
Average (median) time patient spent in the ED after the doctor decided to admit them as an inpatient before leaving the ED for their inpatient room
65 minutes
60 minutes
48 minutes
Average time patients spend in the ED before leaving from the visit
140 minutes
116 minutes
116 minutes
Average time spent in the ED before they were seen by a health care professional
15 minutes
18 minutes
21 minutes
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