MSN FPX 6016 Assessment 3:  Data Analysis and Quality Improvement Initiative Proposal Essay

MSN FPX 6016 Assessment 3:  Data Analysis and Quality Improvement Initiative Proposal Essay

 Data Analysis and Quality Improvement Initiative Proposal 

 Hospice Data 2020-2021

Facility metrics related to four AHRQ reportable benchmarks.

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Benchmark Category 2020 2021
Hospice patients whose hospice care team al- ways treated them with dignity and respect and cared about them 78% 80%
Hospice patients whose hospice care team  always communicated well with their family caregivers about taking care of them 78% 75%
Hospice patients who always received enough help for pain, sadness, breathing, or constipation from the hospice care team 65% 68%
Hospice patients and family caregivers who always got help as soon as they need it from the hospice care team 70% 68%

Analysis Of Current Quality Improvement Initiative In A Health Care Setting

The data shown above gives insight into a hospice facility’s performance in four AHRQ reportable standards related to patient satisfaction and experience. Analyzing the data allows for the identification of areas for improvement and the development of a quality improvement proposal to improve the care delivered to patients and their families (Flieger et al., 2019). First, the data shows that there was a slight increase in the percentage of patients who reported that their hospice care team always treated them with dignity and respect and cared about them. This indicates that the facility is performing well in terms of patient satisfaction with the care provided by the hospice team.

However, the data shows a reduction in the percentage of patients whose hospice care team communicated well with their family caregivers about their care. This might indicate a communication breakdown between the hospice staff and the patient’s family caregivers, which could negatively influence the patient’s experience. To address this issue, the quality improvement plan should include measures for improving communication between the hospice staff and family caregivers (Flieger et al., 2019). This might include regular check-ins, family meetings, and hospice team training on effective communication with families.

Furthermore, the statistics suggest that the percentage of patients who felt they always received enough treatment for pain, sorrow, breathing, or constipation increased (68%). This is a wonderful trend, but the hospital should aim to continue enhancing patient care. The quality improvement plan should explore introducing a pain management strategy to guarantee that patients receive adequate and timely treatment for their symptoms to improve the provision of end-of-life care (Flieger et al., 2019). Finally, the results show that the percentage of patients and family caregivers who always received assistance as soon as they needed it decreased to 68%. While this figure is decreasing, the hospital should strive to maintain or maintain it to guarantee that patients and families receive the assistance they require in a timely way. To accomplish this, the quality improvement proposal should include a system for tracking and reacting to patient and family requirements as well as staff training on effective communication and reaction times.

What Prompted The Implementation Of The Quality Improvement Initiative?

The data given in the report above illustrates a hospice facility’s success in four AHRQ reportable standards linked to patient happiness and experience. The data indicates both positive and undesirable patterns in the facility’s performance, prompting the establishment of a quality improvement project proposal.

The decrease in the proportion of patients whose hospice care team always communicated properly with their family caregivers about taking care of them to 75% was one of the key motivators for the execution of the quality improvement program. This suggests a communication breakdown between the hospice staff and the patient’s family caregivers, which might have a detrimental influence on the patient’s experience (Aston et al., 2022). To address this issue, the quality improvement project should prioritize better communication between the hospice staff and family caregivers.

Another incentive for implementing the quality improvement project is the need to continue enhancing end-of-life care. While the findings show an improvement in the number of patients reporting that they always received enough aid for pain, depression, breathing, or constipation to 68% from 65%, the hospital should aim to continue improving patient care. To do this, the quality improvement program should think about developing a pain management strategy and ensuring that patients receive proper and timely treatment for their symptoms (Aston et al., 2022). Furthermore, the findings show that the percentage of patients and family caregivers who always received support as soon as they needed it decreased. While this figure is not decreasing, the hospital should strive to maintain or enhance it to guarantee that patients and families receive the assistance they require promptly. To do this, the quality improvement project should include a system for tracking and reacting to patient and family requirements as well as staff training on effective communication and reaction times.

Problems not Addressed

The report’s data gives useful information about the hospice facility’s performance in various key measures connected to patient happiness and experience. However, several issues were not addressed in the data and could not be identified based on the information supplied. The core reason for the communication gap between the hospice team and the family caregivers is one of the major issues not addressed in the data. While the reduction in the percentage of patients whose hospice care team usually communicated well with their family caregivers (75%) indicates a problem, the data does not explain why this gap occurs. To address this issue, the quality improvement program should involve a thorough examination of communication procedures and impediments, as well as the creation of measures to increase communication and collaboration between the hospice team and family caregivers (Dhingra et al., 2020).

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Another issue not addressed in the data is individuals’ particular pain management and symptom control requirements. While the results show that the percentage of patients who said they always received enough treatment for pain, depression, breathing, or constipation has grown (68%), it does not give information on patients’ specific requirements. To solve this issue, the quality improvement project should include a patient-centered assessment approach that identifies each patient’s requirements and preferences and ensures that their treatment plan is personalized to fit their specific demands (Dhingra et al., 2020).

Furthermore, the data does not indicate the degree of staff training and support offered to the hospice team. While the data suggests that the hospice quality improvement project may involve staff training and assistance, it does not specify the degree of training and support currently provided. To address this issue, the quality improvement plan should involve a thorough examination of current staff training and support programs, as well as the creation of initiatives to improve and sustain the education and training offered to employees of hospice (Dhingra et al., 2020).

What Problems Arose From The Initiative

The report’s data does not suggest that any specific concerns developed as a result of the hospice quality improvement project. The report includes information on four major patient satisfaction and experience standards and indicates some improvement in these indicators from 2020 to 2021. The percentage of patients who said their hospice care staff always treated them with decency and respect, for example, increased from 78% to 80%. The proportion of patients who said they always got enough treatment for pain, sorrow, breathing, or constipation increased from 65% to 68%. However, it is crucial to remember that the data presented is restricted and may not represent all of the issues or difficulties encountered throughout the quality improvement initiative’s execution. Additional data gathering and analysis may be required to properly understand the initiative’s impact and identify any problems that developed. (Verhoef et al., 2022).

Benchmarks Or Outcome Measures Were Used To Evaluate Success And Requirements For National, State, Or Accreditation Standards

Four criteria were used to assess the performance of the current hospice quality improvement project based on the data supplied in the initiative proposal:

  • Hospice patients whose hospice care staff treated them with decency and respect and who genuinely cared for them
  • Hospice patients whose hospice care staff communicated effectively with their family caregivers about their treatment.
  • Hospice patients who got enough pain, grief, breathing, or constipation treatment from their hospice care team
  • Hospice patients and family caregivers received immediate assistance from the hospice care team.

These benchmarks are a measure of patient contentment and experience, indicating how satisfied patients are with their hospice care team (Rogers et al., 2019). From 2020 to 2021, the data show some improvement in these metrics, with the percentage of patients reporting that their care team always treated them with dignity and respect rising from 78% to 80% and the percentage of patients reporting that they always received enough help for pain, sadness, breathing, or constipation rising from 65% to 68%. It should be noted that these metrics may not be the only ones utilized to assess the performance of the hospice quality improvement project. National, state, or accrediting criteria may necessitate the adoption of extra benchmarks or outcome metrics. Standards may, for example, entail measuring patient and caregiver satisfaction, the efficacy of pain and symptom treatment, or the efficiency of the hospice care delivery process.

Interprofessional Perspectives Related To Initiative Functionality And Outcomes

Additional study and data gathering would be required to understand the responsibilities and views of different members of the interprofessional team engaged in the endeavor to include interprofessional viewpoints. Interviews with healthcare professionals from various disciplines, such as nurses, social workers, chaplains, and physicians, should be conducted to understand the initiative’s impact better. Their contributions might influence the study by offering useful insights into the many components of hospice care and the problems that the interprofessional team faces in providing comprehensive and effective care.

The interprofessional team, which includes doctors, nurses, social workers, chaplains, and other healthcare professionals, can help the QI project succeed by sharing their experiences and collaborating to meet the needs of patients and their families. They may bring a variety of viewpoints and skill sets to the table, allowing for a more holistic approach to patient treatment. Social workers, for example, can assist in identifying and addressing patients’ and their families’ social and emotional needs (Bhatnagar & Lagnese, 2022). Chaplains can help with spiritual and emotional needs, while doctors and nurses can help with physical symptoms.

Additional Indicators And Protocols To Improve And Expand Outcomes Of A Current Quality Initiative

The following proposals can be explored to improve and broaden the outcomes of an existing quality initiative:

  1. Process changes: Using a multidisciplinary approach to patient care, which incorporates the opinions and experience of several healthcare experts, can result in improved outcomes. Improving patient outcomes can be achieved by encouraging collaboration and communication among members of the interprofessional team.
  2. The adoption of new technology, including telemedicine, electronic medical records, and decision support systems, can improve patient care by enabling more efficient and effective communication and information exchange across the interprofessional team.
  3. Outcome measurements: In addition to the existing benchmarks and outcome measures, the following outcome measures may be beneficial to include:
  • Satisfaction of patients and their families with the care they got
  • Duration of hospice care for patients and families
  • Reduced hospital readmissions
  • Improvements in symptom management and patient and family quality of life.

A quality initiative may enhance and broaden its outcomes by incorporating these improvements and adding additional outcome measurements, resulting in greater patient care and satisfaction(Bhatnagar & Lagnese, 2022).

Conclusion

A hospice quality improvement initiative proposal is an important part of healthcare delivery that aims to enhance patient outcomes by addressing their specific requirements. The data from 2020-2021 revealed a little increase in several benchmarks but also identified areas for development, such as improved contact with family caregivers. Including interprofessional viewpoints and employing new technology can increase the initiative’s performance, and incorporating other outcome measures can broaden its influence even more. Healthcare practitioners may guarantee that patients receive the best possible care towards the end of life by regularly reviewing and enhancing the quality of hospice care.

 References

Aston, O., Taylor, S., Geary, A., Walmsley, C., Finucane, A., Morrison, R., Sutherland, A., Arnold, E., McCall-Smith, E., Spiller, J., Sampey, L., Marshall, L., & Kemp, R. (2022). P-178 Improving pain intervention chart (PIC) completion: A quality improvement project (QIP). Poster Presentations12, A77–A77.

Bhatnagar, M., & Lagnese, K. R. (2022). Hospice Care. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537296/

Dhingra, L., Walker, P., Berdella, M., Plachta, A., Chen, J., Fresenius, A., Balzano, J., Barrett, M., Bookbinder, M., Wilder, K., Glajchen, M., Langfelder-Schwind, E., & Portenoy, R. K. (2020). Addressing the burden of illness in adults with cystic fibrosis with screening and triage: An early intervention model of palliative care. Journal of Cystic Fibrosis: Official Journal of the European Cystic Fibrosis Society19(2), 262–270. https://doi.org/10.1016/j.jcf.2019.08.009

Flieger, S. P., Spatz, E., Cherlin, E. J., & Curry, L. A. (2019). Quality improvement initiatives to reduce mortality: An opportunity to engage palliative care and improve advance care planning. The American Journal of Hospice & Palliative Care36(2), 97–104. https://doi.org/10.1177/1049909118794149

Rogers, M., Meier, D. E., Heitner, R., Aldridge, M., Hill Spragens, L., Kelley, A., Nemec, S. R., & Morrison, R. S. (2019). The national palliative care Registry: A decade of supporting growth and sustainability of palliative care programs. Journal of Palliative Medicine22(9), 1026–1031. https://doi.org/10.1089/jpm.2019.0262

Verhoef, M.-J., de Nijs, E., Sweep, B., Warmerdam-Vergroesen, D., Horeweg, N., Pieterse, A., van der Steen, J., & van der Linden, Y. (2022). Non-specialist palliative care – question prompt list preparation: patient, family, and clinician experiences. BMJ Supportive & Palliative Care. https://doi.org/10.1136/bmjspcare-2021-003035

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Assessment 3 Instructions: Data Analysis and Quality Improvement Initiative Proposal
• PRINT
• Make a quality initiative proposal (7-10 PowerPoint slides) through a presentation, interpreting and communicating dashboard data to support the proposal.
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.
Instructions
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 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 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.
o 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 the hospital data set provided in the Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
• 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.
o 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.
o Identify the target areas of improvement and outcome measures.
o Include the QI model that will be utilized.
o 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.
o Specify roles and responsibilities.
• Apply effective collaboration strategies to promote QI of interprofessional care.
o 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 style.
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: Data Analysis and Quality Improvement Initiative Proposal [DOCX] document for additional clarification about things to consider when creating your assessment.
RECORDING YOUR PRESENTATION
Before starting to record your presentation make sure you have:
• Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.
• Practice using the equipment to ensure the audio quality is sufficient.
• Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.
• Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.
• Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at DisabilityServices@Capella.edu to request accommodations.
Additional Requirements
Your assessment should also meet the following requirements:
• Length of submission: 7–10 PowerPoint slides, with speaker notes, not including title slide and attached reference list. Balance text with visuals. Avoid text-heavy slides. Use speaker’s notes for additional content.
• Length of presentation: No more than 10 minutes.
• Number of references: Cite a minimum of five sources (no older than seven years, unless a seminal work) of scholarly or professional evidence to support your evaluation, recommendations, and plans. 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:
• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
o Analyze data to identify a health care issue or area of concern as it relates to a state, national, or accreditation benchmark requirement.
o 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.
o 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.
o Apply effective collaboration strategies to promote quality improvement of interprofessional care.
o 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

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Quality Improvement Initiative Evaluation Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze a current quality improvement initiative in a health care setting. Does not describe a current quality improvement initiative in a health care setting. Describes a current quality improvement initiative in a health care setting, but fails to analyze the origins and results of the initiative. Analyzes a current quality improvement initiative in a health care setting. Analyzes a current quality improvement initiative in a health care setting, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).
Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements. Does not evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures. Attempts to evaluate the success of a quality improvement initiative, but fails to use recognized benchmarks and outcome measures or relate measures to national, state, or accreditation requirements. Evaluates the success of a current quality improvement initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements. Evaluates the success of a current quality improvement initiative through recognized national, state, or accreditation benchmarks and outcome measures. Identifies assumptions on which the analysis is based.
Incorporate interprofessional perspectives related to the success of actions utilized in a quality improvement initiative as they relate to functionality and outcomes. Does not incorporate interprofessional perspectives related to the success of actions utilized in a quality improvement initiative functionality and outcomes. Attempts to incorporate interprofessional perspectives, but includes insufficient interprofessional feedback related to initiative functionality and outcomes. Incorporates interprofessional perspectives related to the success of actions utilized in a quality improvement initiative and how these actions relate to functionality and outcomes. Incorporates interprofessional perspectives and actions related to initiative functionality and outcomes, and identifies areas of uncertainty, knowledge gaps, and additional information that would be needed to gain a more complete understanding.
Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative. Does not recommend additional indicators and protocols to improve and expand outcomes of a quality initiative. Attempts to recommend additional indicators and protocols, but fails to make a case for why recommendations could improve or expand quality outcomes. Recommends additional indicators and protocols to improve and expand outcomes of a quality initiative. Recommends additional indicators and protocols to improve and expand outcomes of a quality initiative, and impartially explains the pros and cons of these recommendations.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards. Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence and/or minimal adherence to applicable writing standards. Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards. Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting.

 

 

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