Data analysis and quality improvement initiative proposal

Prepare an 8-10 page data analysis and quality improvement initiative proposal based on a health issue of interest. Include internal and external benchmark data, evidence-based recommendations to improve health care quality and safety, and communication strategies to gain buy-in from all interprofessional team members responsible for implementing the initiative.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.For this assessment, use your current role or assume a role you hope to have. You will develop a quality improvement (QI) initiative proposal based on a health issue of professional interest. To create this proposal, analyze a health care facility’s dashboard metrics and external benchmark data. Include evidence-based recommendations to improve health care quality and safety relating to your selected issue. Successful QI initiatives depend on the support of nursing staff and other members of the interprofessional team. As a result, a key aspect of your proposal will be the communication strategies you plan to use to get buy-in from these team members.Demonstration of ProficiencyBy successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses. 

Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.

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Competency 2: Plan quality improvement initiatives in response to routine data surveillance. 

Develop a QI initiative proposal based on a selected health issue and supporting data analysis.

Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures. 

Analyze data to identify a health care issue or area of concern.

Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost-effectiveness, and work-life quality. 

Communicate QI initiative proposal based on input of the interdisciplinary team to improve patient safety and quality outcomes and work-life quality.

Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care. 

Determine communication strategies to promote quality improvement of interprofessional care.
Communicate QI initiative proposal in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

PreparationTo develop the QI initiative proposal required for this assessment, you must analyze a health care facility’s dashboard metrics. Choose Option 1 or 2 according to your ability to access dashboard metrics for a QI initiative proposal.Option 1If you have access to dashboard metrics related to a QI initiative proposal of interest to you, complete the following:
Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. For example, in a hospital setting, you would contact the quality management department to obtain the needed data. It is your responsibility to determine the appropriate resource to provide the necessary data in your chosen health care setting. If you need help determining how to obtain the needed information, consult your faculty member for guidance.
Include in your proposal basic information about the health care setting, size, and specific type of care delivery related to the identified topic. Please abide by Health Insurance Portability and Accountability Act (HIPAA) compliance standards.
Option 2If you do not have access to a dashboard or metrics related to a QI initiative proposal:
Use the hospital data set provided in Vila Health: Data Analysis. You will analyze data to identify a health care issue or area of concern.
Include in your proposal basic information about the health care setting, size, and specific type of care delivery related to the identified topic.
InstructionsUse your current role or assume a role you would like to have. Choose a quality improvement initiative of professional interest to you. Your current organization is probably working on quality improvement initiatives that can be evaluated, so consider starting there.To develop your proposal you will:
Gather internal and external benchmark data on the subject of your quality improvement initiative proposal. 
Analyze data you have collected.
Make evidence-based recommendations about how to improve health care quality and safety relating to your chosen issue. 
Remember, your initiative’s success depends on the interprofessional team’s commitment to the QI initiative. Think carefully about these stakeholders and how you plan to include them in the process, as they will help you develop and implement ideas and sustain outcomes. Also, remember how important external stakeholders, such as patients and other health care delivery organizations, are to the process. As you are preparing this assessment, consider carefully the communication strategies you will employ to include the perspectives of all internal and external stakeholders in your proposal.  The following numbered points correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your proposal addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels related to each grading criterion.

Analyze data to identify a health care issue or area of concern.

Identify the type of data you are analyzing from your institution or from the Vila Health activity.
Explain why data matters. What does data show related to outcomes?
Analyze the dashboard metrics. What else could the organization measure to enhance knowledge?
Present dashboard metrics related to the selected issue that are critical to evaluating outcomes.
Assess the institutional ability to sustain processes or outcomes.
Evaluate data quality and its implications for outcomes.

Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.

Examine the nursing process for variations or performance failures that could lead to an adverse event or near miss.
Identify trends, measures, and information needed to critically analyze specific outcomes.
Specify desired outcomes related to prevention of adverse events and near misses.
Analyze which metrics indicate future quality improvement opportunities.

Develop a QI initiative proposal based on a selected health issue and supporting data analysis.

Determine benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
Identify any internal existing QI initiatives in your practice setting or organization related to the selected issue. Explain why they are insufficient.
Evaluate external national or international QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and nongovernmental bodies on quality improvement.
Define target areas for improvement and the processes to be modified to improve outcomes.
Propose evidence-based strategies to improve quality.
Analyze challenges that meeting prescribed benchmarks can pose for a health care organization and the interprofessional team.

Communicate QI initiative proposal based on interdisciplinary team input to improve patient safety and quality outcomes and work-life quality.

Define interprofessional roles and responsibilities relating to data and the QI initiative.
Explain how to ensure all relevant interprofessional roles are fully engaged in this effort.
Identify how outcomes will be measured and data used to inform interprofessional team performance related to specific tasks.
Reflect on the impact of the proposed initiative on work-life quality of the interprofessional team.
Describe how the initiative enhances work-life quality due to improved strategies supporting efficiency.

Determine communication strategies to promote quality improvement of interprofessional care.

Identify interprofessional communication strategies that will help to promote and ensure the success of the QI initiative.
Identify communication models, such as SBAR and CUS, to include in your proposal. 

SBAR stands for Situation, Background, Assessment, Recommendation.
CUS stands for “I am Concerned about my resident’s condition; I am Uncomfortable with my resident’s condition; I believe the Safety of the resident is at risk.”

Consult this resource for additional information about these fundamental evidence-based tools to improve interprofessional team communication for patient handoffs: 

Communicate QI initiative proposal in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.
Example Assessment: Refer to QI Initiative Proposal Exemplar [PDF] for an idea of what an assessment given a proficient or higher rating on the scoring guide would look like.Additional Requirements

Submission length:  8–10 typed, double-spaced pages of content plus title and reference pages.
Font: Times New Roman, 12 points.
Number of references: Cite a minimum of 5 current scholarly and/or authoritative sources to support your QI initiative proposal. Current means no older than 5 years unless a seminal work.
APA formatting: Citations and references need to adhere to APA style and formatting guidelines. Consult these resources for an APA refresher:  

 

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Data Analysis and Quality Improvement Initiative Proposal

Data Analysis and Quality Improvement Initiative Proposal.

  Data Analysis and Quality Improvement Initiative Proposal
      
     Details Attempt 1Evaluated Attempt 2Evaluated Attempt 3Available Toggle Drawer  Overview
    Prepare an 8–10-page data analysis and quality improvement  initiative proposal based on a health issue of professional interest to  you. The audience for your analysis and proposal is the nursing staff  and the interprofessional team who will implement the initiative.
“A basic principle of quality measurement is: If you can’t measure  it, you can’t improve it” (Agency for Healthcare Research and Quality,  2013).
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 quality improvement 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.
Show More     Toggle Drawer  Questions to Consider
    As you prepare to complete this assessment, you may want to think  about other related issues to deepen your understanding or broaden your  viewpoint. You are encouraged to consider the questions below and  discuss them with a fellow learner, a work associate, an interested  friend, or a member of your professional community. Note that these  questions are for your own development and exploration and do not need  to be completed or submitted as part of your assessment.
Reflect on QI initiatives focused on measuring and improving patient outcomes with which you are familiar.
  How important is the role of nurses in QI initiatives? What quality improvement initiatives have made the biggest difference? Why? When a QI initiative does not succeed as planned, what steps are taken to improve or revise the effort? Toggle Drawer  Resources
    Required Resources
MSN Program Journey
Please review this guide for your degree program. It can help you  stay on track for your practicum experience, so you may wish to bookmark  it for later reference.
  MSN Program Journey | Transcript. Show More      Assessment Instructions
    Preparation
In this assessment, you will propose a quality improvement (QI)  initiative proposal based on a health issue of professional interest to  you. The QI initiative proposal will be based on an analysis of  dashboard metrics from a health care facility. You have one of two  options:
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 area of concern. You will need access to reports and data  related to care quality and patient safety. If you work in 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 HIPAA compliance  standards. Option 2
If you do not have access to a dashboard or metrics related to a QI initiative proposal:
  You may use the hospital data set provided in the media piece  titled Vila Health: Data Analysis. You will analyze the data to identify  a health care issue or area of concern. You will follow the same instructions and provide the same deliverables as your peers who select Option 1. Instructions
Analyze dashboard metrics related to the selected issue.
  Provide the selected data set in the proposal.       Assess the stability of processes or outcomes. Delineate any problematic variations or performance failures. Evaluate QI 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. Outline a QI initiative proposal based on the selected health issue and data analysis.       Identify target areas for improvement. Define what processes can be modified to improve outcomes. Propose strategies to improve quality. Define interprofessional roles and responsibilities as they relate to the QI initiative. Provide recommendations for effective communication strategies  for the interprofessional team to ensure the success of the QI  initiative. Briefly reflect on the impact of the proposed initiative on  work-life quality of the nursing staff and interprofessional team. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Note: Remember, you can submit all, or a portion  of, your draft to Smarthinking for feedback, before you submit the final  version of your analysis for this assessment. However, be mindful of  the turnaround time for receiving feedback, if you plan on using this  free service.
The numbered points below correspond to grading criteria in the  scoring guide. The bullets below each grading criterion further  delineate tasks to fulfill the assessment requirements. Be sure that  your Quality Improvement Initiative Evaluation addresses all of the  content below. You may also want to read the scoring guide to better  understand the performance levels that relate to each grading criterion.
  Analyze data to identify a health care issue or area of concern.       Identify the type of data you are analyzing (from your institution or from the media piece). Discuss why the data matters, what it is telling you, and what is missing. Analyze dashboard metrics and provide the data set in the proposal. Present dashboard metrics related to the selected issue. Delineate any problematic variations or performance failures. Assess the stability of processes or outcomes. Evaluate the quality of the data and what can be learned from it. Identify trends, outcome measures and information needed to calculate specific rates. Analyze what metrics indicate opportunities for quality improvement. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.       Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws. Identify existing QI initiatives related to the selected issue, and explain why they are insufficient. Identify target areas for improvement, and define what processes can be modified to improve outcomes. Propose evidence-based strategies to improve quality. Evaluate QI 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 QI initiative. Explain how you would you make sure that all relevant roles are fully engaged in this effort. Explain what non-nursing concepts would you incorporate into the initiative? Identify how 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.  Describe how work-life quality is improved or enriched by the  initiative. Apply effective communication strategies to promote quality improvement of interprofessional care.       Identify the kind of interprofessional communication strategies  that will be effective to promote and ensure the success of this  performance improvement plan or quality improvement initiative. In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal. Communicate evaluation and analysis in a professional and  effective manner, writing content clearly and logically with correct use  of grammar, punctuation, and spelling. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style. Submission Requirements
  Length of submission: 8–10 double-spaced, typed pages, not including title and reference page. Number of references: Cite a minimum of five sources (no older  than seven years, unless seminal work) of scholarly, peer-reviewed, or  professional evidence that support your evaluation, recommendations, and  plans.
 
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Data Analysis and Quality Improvement Initiative Proposal

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