The Quality Improvement Initiative Evaluation Essay Assignment

Included are the instructions and the topic will be the hospice data activity which I have included in separate documents. Note the highlighted areas.
I’ve included the hospice data in excel as well as the interview with stakeholders and the guided questions document

additional resources if needed below
Wolak, E., Overman, A., Willis, B., Hedges, C., & Spivak, G. F. (2020). Maximizing the benefit of quality improvement activities: A spread of innovations model. Journal of Nursing Care Quality, 35(3), 199–205.

O’Donoghue, S. C., DiLibero, J., & Altman, M. (2021). Leading sustainable quality improvement. Nursing Management, 52(2), 42–50 The Quality Improvement Initiative Evaluation Essay Assignment.

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Quality improvement initiatives aim to ensure that health care provided to patients is safe and effective, and delivered in a timely manner. The hospice data activity is a quality improvement initiative that focuses on evaluating the data collected by hospices to improve patient care. The hospice data activity is designed to improve the quality of data collection by hospices and to use this information to make improvements in patient care. This paper will evaluate the success of hospice data activity QI initiative by discussing analyzing it, evaluating its success, discussing interprofessional perspectives, and providing recommendations on additional indicators and protocols to improve and expand outcomes of hospice data activity initiative.

Analysis of a Current Quality Improvement Initiative in the Health Care Setting

The quality improvement initiative being analyzed is the use of hospice data in a health care setting. This initiative was prompted by the need to provide better quality care to patients who are in the process of dying. The hospital aims at providing comfortable care to the end of life of patients, and thus its care is not based on urgency or any form of life-saving care. This means hospital treat the symptoms, not the disease. Unlike other units, the patient is a recipient of care, but so is the family. It does this by using a holistic approach, in that they try to address not just physical, but also emotional, psychological, and spiritual needs. With each patient, there is an interdisciplinary team that delivers care at home. When symptoms arise that need more aggressive management than home care can provide, the healthcare organization allows the care providers to do temporary inpatient admissions. Problems that were not addressed during the initiative include the lack of communication between different health care providers and the need for a standardized data collection process. Communication is key to the provision of quality care, and therefore, lack of communication may lead to the initiative not being successful (Bergerum et al., 2019)The Quality Improvement Initiative Evaluation Essay Assignment. It is possible that the initiative will be successful if it is able to standardize data collection and improve communication between different health care providers. However, it is too early to tell if these are the only issues that need to be addressed.  Problems that arose from this initiative include a rise in costs, as the hospital had to hire more nurses and doctors to provide care for patients who were dying at home, a decrease in the quality of care given to patients in hospital due to increased number of patients reporting in the unit from 351 to 376, and the fact that many patients died while in hospital. Therefore, there is need for further refinement of the initiative before it can be considered a success.

Evaluation the Success of a Current Quality Initiative Through Recognized Benchmarks and Outcome Measures

The most successful benchmarks or outcome measures used to evaluate the success of the quality initiative were patient satisfaction surveys, patient outcome metrics, and adherence to national, state, or accreditation standards (Head et al., 2019). There were also interviews done on stakeholders of the hospital to understand more about the hospice data activity. From the interviews, it was determined that the most successful aspects of the quality initiative were patients’ satisfaction surveys and patient outcome metrics. Patient satisfaction surveys showed a marked improvement in how well hospice patients were being cared for, while patient outcome metrics showed a decrease in the amount of pain and suffering patients reported. As a result of improved care among the patients who had been admitted in 2020, the number raised slightly from 351 to 376, and this represented over 97% satisfaction rate. The initiative also met all national, state, and accreditation standards. Requirements for national, state, or accreditation standards include meeting benchmarks or outcomes measures to evaluate, measuring, and reporting quality improvement. The results of the hospice data activity show that by using benchmarks or outcome measures to measure success, the hospice was able to improve patient care while still meeting all national, state, and accreditation standards. In order to continue to improve patient care and meet accreditation standards, the hospice will need to continue updating its benchmarks or outcome measures. According to Bergerum et al. (2019)The Quality Improvement Initiative Evaluation Essay Assignment, patient satisfaction surveys and patient outcome metrics are the most successful measures of quality improvement. This is due to the fact that they provide objective evidence of the success or failure of a quality initiative. Furthermore, interviews with stakeholders can help to identify any areas in which the quality initiative may need improvement. The only downside to the quality initiative was that it took longer than originally planned to complete it. However, the initiative was deemed a success overall because it improved patient care and met all relevant benchmarks.

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Interprofessional Perspectives Related to Initiative Functionality and Outcomes

The interprofessional team that was involved in the success of QI initiative included the nurses, a hospice physician, a social worker, home health aides are part of the team, as well as the volunteer coordinator and the chaplain. During the implementation of QI initiative, nurses play an important role by providing the leadership, direction and support to the team (Antony et al., 2019). During the hospice data activity implementation, the nurses contributed to the success of the initiative by providing the leadership, direction and support to the team. The hospice physician also played an important role in the success of QI initiative by providing quality care for patients. In addition, social worker was responsible for providing the support and guidance to the team in order to ensure that the QI initiative was implemented effectively (Wolak et al., 2020)The Quality Improvement Initiative Evaluation Essay Assignment. The volunteer coordinator also played an important role by organizing and managing the volunteers who were engaged in the QI initiative. Lastly, the chaplain contributed to the success of QI initiative by providing spiritual support to the team. Overall, the interprofessional team played an important role in the success of QI initiative.

The perspectives of the interprofessional team members involved in the QI initiative were positive. All of the team members agreed that the QI initiative was a success and that they were proud of their work. In addition, all of the team members believed that the QI initiative was beneficial for patients and improved the quality of care provided to patients. However, the interprofessional team faced some challenges such as communication challenges and coordination challenges. The communication challenges resulted from the team’s inability to share information effectively and the coordination challenges were due to the team’s inability to manage and coordinate their activities. Despite these challenges, the interprofessional team members were positive about their work in implementing QI initiative and believed that it was beneficial for patients.

During the implementation of this QI initiative, I talked to senior officers such as director of hospice services, chief nursing officer, quality assurance director, and chief financial officer. The director of hospice services helped me to understand the main goal and roles play by different stakeholders during the hospice process. The chief nursing officer provided me with insights on how to improve the quality of care and the quality assurance director offered suggestions on how to better measure QI outcomes. The input from other professionals helped me to better understand the challenges that they faced and how to address them. In addition, their input helped me to develop a better plan for implementing this QI initiative. The Quality Improvement Initiative Evaluation Essay Assignment

Recommendations of Additional Indicators and Protocols to Improve and Expand Outcomes of a Current Quality Initiative

Some of the protocol changes that I would make are as follows: making sure that all patient data is collected, organized, and reviewed in a consistent and standardized manner, encouraging the use of outcome measures such as Quality of Life (QOL) measures, conducting regular reviews of the hospice data activity to assess effectiveness, and developing a plan for improving data quality (Antony et al., 2019). These changes would help the interprofessional team to better assess the hospice patients’ progress and to make decisions about how best to care for them. Additionally, adding technologies, such as automated patient data entry and tracking software, could help to improve data quality and make it easier to track patient progress (Antony et al., 2019)The Quality Improvement Initiative Evaluation Essay Assignment. Some outcome measures that I think are important to assess include QOL, pain, comfort, depression, anxiety, communication, and social activity. Additional measures that could be included are measures of functional status, activities of daily living (ADLs), and quality of life at the end of hospice care. These outcome measures would help to better assess the effectiveness of the hospice care being provided and to determine whether changes are needed in how the hospice is operating.

References

Antony, J., Sunder M, V., Sreedharan, R., Chakraborty, A., & Gunasekaran, A. (2019). A systematic review of Lean in healthcare: a global prospective. International Journal of Quality & Reliability Management, 36(8), 1370-1391.

Bergerum, C., Thor, J., Josefsson, K., & Wolmesjö, M. (2019). How might patient involvement in healthcare quality improvement efforts work—A realist literature review. Health Expectations, 22(5), 952-964.

Burke, S., Utley, A., Belchamber, C., & McDowall, L. (2020). Physical activity in hospice care: a social ecological perspective to inform policy and practice. Research Quarterly for Exercise and Sport, 91(3), 500-513.

Head, B., Middleton, A., & Zeigler, C. (2019). Work satisfaction among hospice and palliative nurses. Journal of Hospice & Palliative Nursing, 21(5), E1-E11.

Wolak, E., Overman, A., Willis, B., Hedges, C., & Spivak, G. F. (2020). Maximizing the benefit of quality improvement activities: a spread of innovations model. Journal of Nursing Care Quality, 35(3), 199-205 The Quality Improvement Initiative Evaluation Essay Assignment.

Guiding Questions

Quality Improvement Initiative Evaluation

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality Improvement Initiative Evaluation 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 turn in this document as your assessment submission.

Remember, you are analyzing a current QI initiative that is already in place. You are not creating a new QI initiative (Assessment 3)The Quality Improvement Initiative Evaluation Essay Assignment.

Analyze a current quality improvement initiative in a health care setting.

• What prompted the implementation of the quality improvement initiative?
• What problems were not addressed?
• What problems arose from the initiative?

Evaluate the success of a current quality initiative through recognized benchmarks and outcome measures.

• What benchmarks or outcome measures were used to evaluate success? Consider requirements for national, state, or accreditation standards.
• What was most successful?

Incorporate interprofessional perspectives related to initiative functionality and outcomes.

• How does the interprofessional team contribute to the success of the QI initiative?
• What are the perspectives of interprofessional team members involved in the initiative?
• Who did you talk to? From what other professions? How did their input impact your analysis? The Quality Improvement Initiative Evaluation Essay Assignment

Recommend additional indicators and protocols to improve and expand outcomes of a current quality initiative.

• What process or protocol changes would you recommend?
• What added technologies would improve quality outcomes?
• What outcome measures are missing, or could be added?

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

• Is your analysis logically structured?
• Is your analysis 5–7 double-spaced pages (not including title page and reference list)?
• Is your writing clear and free from errors?
• Does your analysis include both a title page and reference list?
• Did you use a minimum of four sources? Were they published within the last five years?
• Are they cited in current APA format throughout the analysis? The Quality Improvement Initiative Evaluation Essay Assignment

Assessment 2 Instructions: Quality Improvement Initiative Evaluation

Top of Form

Bottom of Form

• Prepare an evaluation (5-7 pages) of an existing QI initiative to determine if the initiative is effective.

Introduction

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—various groups talking among themselves about results and enhancements. Nurses are critical to the delivery of high-quality, efficient health care. As a result, they must develop their skills in reviewing and evaluating performance reports. They also need to be able to communicate outcome measures related to quality initiatives effectively. Patient safety and positive institutional health care outcomes mandate collaboration among nursing staff members to ensure the integration of their perspectives in all quality care initiatives The Quality Improvement Initiative Evaluation Essay Assignment.

Overview

In the first assessment, you analyzed an adverse event or a near miss, and outlined a QI initiative to address it. This assessment will give you practice and the confidence to evaluate a quality care initiative in much the same way you might in your health care setting to help determine if the initiative is effective.

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes.

Instructions

Imagine you have been asked to prepare and deliver an analysis of an existing QI initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you, or you may use the hospice information provided in the Vila Health: Data Analysis activity in this assessment. The purpose of the report is to assess whether the specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your target audience is nurses and other health professionals with specializations or interest in your chosen condition, disease, or public health issue.

In your report, you will: The Quality Improvement Initiative Evaluation Essay Assignment

• • Analyze a current QI initiative in a health care setting.
    • Identify what prompted implementation of the QI initiative.
    • Evaluate problems that arose during the initiative or problems that were not addressed.
  • Evaluate the success of a current QI initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements.
    • Identify the core performance measurements related to successful treatment or management of the condition.
    • Evaluate the impact of the quality indicators on the health care facility.
  • Incorporate interprofessional perspectives related to the success of actions used in the QI initiative as they relate to functionality and outcomes.
  • Recommend additional indicators and protocols to improve and expand outcomes of a current quality initiative.
  • Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards The Quality Improvement Initiative Evaluation Essay Assignment

Be sure to address all of the bullet points. You may also want to read the Quality Improvement Initiative Evaluation Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Quality Improvement Initiative Evaluation [DOCX] document for additional clarification about things to consider when creating your assessment.

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Additional Requirements

Your assessment should also meet the following requirements:

• • Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page and References section.
  • Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Review the Nursing Master’s Program (MSN) Library Guide for guidance.
  • APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: The Quality Improvement Initiative Evaluation Essay Assignment

• • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Analyze a current quality improvement initiative in a health care setting.
    • Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work life quality.
    • Incorporate interprofessional perspectives related to the success of actions utilized in a quality improvement initiative as they relate to functionality and outcomes.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. The Quality Improvement Initiative Evaluation Essay Assignment