Competencies you will demonstrate your mastery of the following competencies: Analyze healthcare quality metrics Determin
Competencies
you will demonstrate your mastery of the following competencies:
- Analyze healthcare quality metrics
- Determine an opportunity for a healthcare improvement initiative
- Recommend a healthcare quality improvement initiative and evaluation process
Overview
Throughout this course, you have learned how to analyze healthcare quality metrics, determine an opportunity for a healthcare improvement initiative, and recommend a healthcare quality improvement implementation plan and evaluation process. In this project, you will demonstrate the knowledge and skills needed to improve healthcare delivery for an organization. Choose a clinically or non-clinically based healthcare organization that releases public-facing data. You may decide to select a local organization or one where you work or have been a patient. For this project, you will be creating a healthcare quality improvement initiative and evaluation report in which you will describe the issue at the outset, the setting, the problem to be solved, the parties affected, and the reason why the issue is important to address. You will recommend a concise implementation plan and describe in detail how you plan to evaluate if your implementation was successful.
Scenario
For the purposes of this project, imagine that you work on a team that monitors quality and risk management within the organization you selected. Whether you are coming from a nursing lens or a healthcare administration lens, your task is to analyze the healthcare quality metrics for the organization you selected. Based upon your analysis of the data, you will determine an opportunity for a healthcare improvement initiative for the organization. Then, you will provide a recommendation so that the organization can improve the quality and/or safety of its healthcare delivery. Finally, describe how you will evaluate the effectiveness of your plan.
Directions
Your report should contain the following sections:
- Metric analysis: Analyze the healthcare quality metrics of your chosen healthcare organization based on their public data.
- Interpret the data and metrics related to the effectiveness of a healthcare organization.
- Assess the validity and quality of the healthcare quality improvement data that support the need for the improvement opportunity you will include in your report.
- Derive insights and opportunities from the data.
- Opportunity for improvement: Determine an opportunity for a healthcare quality improvement initiative for the healthcare organization you selected.
- Explain how the metrics drive an opportunity for improvement.
- Determine an evidence-based quality improvement tool for addressing an improvement opportunity.
- Apply a problem-solving framework or tool to identify what could have been done differently based on the metrics and show and/or describe your application of the tool or framework.
- Recommendation: Provide a recommendation for the organization you selected so that the organization can improve the quality and/or safety of its healthcare delivery and determine how to evaluate if your recommendations were successful.
- Develop a healthcare quality improvement initiative using a framework, such as plan-do-study-act (PDSA), root cause analysis (RCA), and failure mode effect analysis (FMEA).
- Determine an evaluation method for a healthcare quality improvement initiative for 1, 3, 6, and 12 months and describe that method in detail.
- Determine data-collection tool(s).
Your project should provide evidence from at least five scholarly sources.
What to Submit
To complete this project, you must submit the following:
Healthcare Quality Improvement Initiative and Evaluation Report
Submit your healthcare quality improvement initiative and evaluation report as a Word document. Your submission should be approximately 4 to 6 pages
Supporting Materials
https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwj-18Dnxqv2AhVK5MgKHSEJBeYYABAAGgJxdQ&ohost=www.google.com&cid=CAESWuD2qdppnlxMDstyuuvp2Bu__MBcrKvIKPGTXzyuo3pT57JROqkEHstXyeeHPvDayGkpAo8m7hpZrguLormAUWJHVJhsktqPTClK_t6GNLQX80GTIsKdZHrwBA&sig=AOD64_1OG-rTvVhLHL2uFOuS-E-Rsvzo2w&q&adurl&ved=2ahUKEwiU77Xnxqv2AhWwg-AKHQMdCpIQ0Qx6BAgCEAE
Website: Find and Compare Nursing Homes, Hospitals, and Other Providers Near You
This website will help you find and compare homes, hospitals, and other providers near you.
Website: AHRQ
The Agency for Healthcare Research and Quality website will help you find metrics from healthcare providers. The data visualizations under the Data tab are also worth exploring. AHRQ also has toolkits and best/leading practices that you may want to refer to.
2
Healthcare Improvement Initiative
Veronica Horne
Southern New Hampshire University
February 6, 2022
IHP 604
Selection of Area of Improvement
St. Jude Children’s Research hospital’s area of improvement is the cancer services required for children with cancer. There needs to be efficacy in applying the services through information technology to reduce human errors. The public-facing data that will be utilized will include the Public Access Data Tables, which will show the information collected and analyzed from participants in the Childhood Cancer Survivor Study (CCSS).
Selection of Method of Improvement
The method adopted for improving cancer care is implementing and improving electronic order entry with a system to activate order sets (Dobrozsi et al., 2019). The plan would help notify the health providers in St. Jude of fever or related complications before the patient arrives on the hospital premises.
Selection of Framework to Use in Improvement Initiative
Program-wide interventions through process maps will be the utilized method of improvement for cancer care in children. There will be an initiation of a PDSA process in each affiliate program (Coury et al., 2017). Specifically, it will improve timely antibiotic administration for children with febrile neutropenia. Besides, it will also help cancer patients with sepsis.
Discuss your Selections
I selected the area of improvement because diagnosing cancer in a child or young adult is an emotionally overwhelming experience (Morgan et al., 2019). Therefore, the kind of care offered at St. Jude hospital must improve the child’s condition without risking health. The selected method of improvement will help the health practitioners determine the patients with additional complications such as Sepsis and those who require prompt administration of antibiotics. The chosen framework will enable the hospital to use rapid small-step change cycles to implement the intervention.
Report Sections
The report sections to be included in my course project to describe my healthcare quality improvement initiative will consist of the background information where I will identify background on the services offered at St. Jude, the state of cancer patient care, the implemented technologies, and other relevant information. The scope of the study section will describe the purpose and objective of the report. The literature review will provide research information on the issue. The methodology section will describe the application of the intervention. The conclusions and recommendations section will be the last segment of the report.
References
Coury, J., Schneider, J., Rivelli, J., Petrik, A., Seibel, E., & D’Agostini, B. et al. (2017). Applying the Plan-Do-Study-Act (PDSA) approach to a sizeable pragmatic study involving safety net clinics. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2364-3
Dobrozsi, S., Tomlinson, K., Chan, S., Belongia, M., Herda, C., & Maloney, K. et al. (2019). Education Milestones for Newly Diagnosed Pediatric, Adolescent, and Young Adult Cancer Patients: A Quality Improvement Initiative. Journal Of Pediatric Oncology Nursing, 36(2), 103-118. https://doi.org/10.1177/1043454218820906
Morgan, J., Deyo, J., Cox, J., Fasipe, F., Mohamed, A., & Russo, C. (2019). Quality Improvement Interventions across a Network of Pediatric Hematology-Oncology Clinics. Pediatric Quality & Safety, 4(2), e149. https://doi.org/10.1097/pq9.0000000000000149
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IHP 604 Module Five Quality Improvement Plan Example
Name: Role/Title:
Department: Date:
Opportunities for Improvement
What are areas of concern or the opportunities for quality improvement initiatives to be implemented? What is the data or qualitative information that indicates there are problems?
Previously Addressed Concerns
Have these concerns been previously addressed in the past? What would indicate so? What is the impact of these previously addressed issues?
Quality Improvement Goals
What are the specific goals of a quality improvement plan that could address the opportunities for improvement?
Monitoring Progress
How will you monitor the progress of these goals? What is the follow-up schedule and benchmarks that would indicate improvements?
Additional Notes
What else should the quality team keep in mind if this improvement plan were to be put into action?
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Week 3 Short Paper
Veronica Horne
IHP 604
Southern New Hampshire University
January 23, 2022
Selection of Healthcare Organizations
St. Jude Children’s Research Hospital is world renowned, and has several locations within the United States. The first hospital was open im 1962 and one of it’s primary focuses was sickle cell disease and leukemia, as well as other cancers for pediatric patients. St. Jude’s is well known for the care and treatment of children, and ensuring that parents of patients are never billed for the servoces they provide. This also includes meals and housing for the families of patients during trestment. Within the first year of the hospital year of operation, more than thirty research projects have been instituted, with four completed (St. Jude, 2022).
Selection of Public Facing Data
Childhood cancer is something that no family wants to go through for their child, yet it happens all the same for far too many families. The Public Access Data Tables that will be used for this project will show the information collected and analyzed from the participants in the Childhood Cancer Survivor Study (CCSS). The information found within the tables will be organized by the type pf cancer, gender, age, years since diagnosis, age of diagnosis and what treatments were given. St. Jude Children’s Research Hospital was chosen due tp the enormous amount of work and dedication put into increasing survival rates for pediatric cancer patients, and the amount of information available on their research, past and present.
References
St. Jude Children’s Research Hospital (2022). Timeline: From Dream to Reality. Retrieved from https://www.stjude.org/about-st-jude/history/timeline.html?sc_icid=our-history-timeline
St. Jude Children’s Research Hospital (2022). Public Access Data Tables. Retrieved from https://ccss.stjude.org/content/dam/en_US/shared/ccss/documents/data/data-bk-brief-symptom-inventory-18-basejb.pdf
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