Quality Improvement Initiative Evaluation Essay

Quality Improvement Initiative Evaluation Essay

Quality Improvement Initiative

A hospice quality improvement initiative entails implementing a new patient evaluation process to guarantee that all patients receive a comprehensive evaluation of their needs. Data on patients’ medical symptoms, emotional and spiritual well-being, and social support network are collected as part of the diagnostic procedure of the hospice quality improvement initiative (Fink et al., 2019). The evaluation results could then be utilized to create a care plan specific to each patient’s requirements. Furthermore, a hospice quality improvement program may include strengthening hospice staff training and support. This includes providing additional end-of-life education and training, as well as continuing support and resources to enable staff gives the best possible care to patients and their families.

The quality improvement patient assessment procedure will ensure that each patient’s unique requirements are considered when formulating a treatment plan. Healthcare professionals will be better positioned to comprehend the patient’s specific requirements and deliver customized care if data on physical symptoms, mental and spiritual well-being, and social support networks are collected (Fink et al., 2019). Improving hospice staff training and support is also an important component of the hospice quality improvement project. More education and training on end-of-life care can assist staff in better understanding the requirements of patients and their families, allowing them to give more effective care. Ongoing assistance and resources will also help to ensure that nurses are prepared to face any issues that may arise during the end of life care.

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Analyze A Current Quality Improvement Initiative In A Health Care Setting.

What Prompted The Implementation Of The Quality Improvement Initiative?

The rising concern about the quality of treatment in hospice settings was one of the key motivators for this initiative. Patients and their families frequently have several questions and concerns about the treatment and support available during end-of-life care, and it was becoming evident that the information offered to them was frequently insufficient. As a result, patients and their families were not always able to make informed choices regarding their care, and as a result, the quality of care was frequently compromised (Singh et al., 2019). Another significant element was the growing demand for healthcare companies to increase efficiency and save costs.

Hospice care may be costly, and healthcare institutions have been under increasing financial pressure to deliver it more cost-effectively. The Vila Health QI effort was conceived as a means of addressing these problems and improving the overall quality of care offered to patients and their families. Again, technological advancements and data analytics played a part in the implementation of this campaign. Large volumes of data on patient outcomes and resource consumption, as well as new methods for analyzing and visualizing this data, enabled us to identify areas for improvement and follow progress over time (Singh et al., 2019). This enabled healthcare companies to make better-informed judgments on how to enhance and optimize their care delivery systems.

What Problems Were Not Addressed?

While implementing a hospice quality improvement initiative can result in many beneficial results, it is vital to recognize that one initiative may not address all difficulties. A major issue in quality improvement initiatives is a lack of resources. Hospice care providers may lack the resources necessary to conduct the quality improvement project completely. This might involve a personnel deficit, a lack of finance, or a lack of technology or equipment (Salifu et al., 2021). Change may be challenging, and some employees may be resistant to the implementation of new processes or procedures. This opposition may be a result of a misunderstanding of the benefits of the quality improvement project or a fear of change.

Despite the introduction of a new patient assessment method, there may still be a shortage of data collection or poor data analysis, preventing healthcare practitioners from completely understanding patient requirements and providing effective care. Complex patient demands are also not addressed, which makes it difficult for healthcare personnel to handle the complexity of patient needs, particularly for individuals with numerous chronic diseases. While the quality improvement project may provide a framework for addressing these demands, it may be insufficient to meet the complexities of each specific instance. Inadequate stakeholder support is also an unaddressed issue in that to be effective, the execution of a quality improvement effort may need the cooperation of stakeholders such as patients, families, and healthcare providers (Salifu et al., 2021). If these stakeholders do not completely comprehend the initiative’s advantages or are not sufficiently involved, it may not be entirely successful.

What Problems Arose From The Initiative?

While implementing a hospice quality improvement effort can result in several beneficial results, it is not without its hurdles and possible drawbacks. A quality improvement initiative’s implementation costs might be high, especially if it necessitates the procurement of new equipment, technology, or supplies. This expense might place a burden on hospice care providers’ resources. Staff and other healthcare professionals may also resist the implementation of new processes or procedures, which might jeopardize the effectiveness of the quality improvement program (Salifu et al., 2021). Not to mention technology, the deployment of new technology or equipment might bring with it its own set of issues, such as technical difficulties or the requirement for further training.

Despite the deployment of a new patient assessment method, there may still be insufficient data collection or analysis, preventing healthcare practitioners from completely understanding patient requirements and providing appropriate care. Implementing a quality improvement effort can raise the burden on employees and healthcare professionals, especially if new processes or procedures are adopted (Salifu et al., 2021). This can lead to burnout and a drop in employee morale. Standardization is lacking. It might be challenging to compare the results of the quality improvement project to other providers or find areas for improvement without standards in data collection and analysis.

Evaluate The Success Of A Current Quality Initiative Through Recognized Benchmarks And Outcome Measures.

It is critical to assess the performance of a current quality improvement effort to determine its influence on patient safety, quality of care, and cost and efficiency goals. This may be accomplished by identifying benchmarks and outcome indicators, such as those set by professional groups or government agencies, to evaluate the performance of the quality improvement effort. Metrics such as patient satisfaction, duration of stay, readmission rates, and death rates may be included. Data must be gathered and evaluated to assess the efficacy of the quality improvement program. This might include gathering information on patient outcomes, staff satisfaction, and resource use. To evaluate success and identify areas for development, there is a need to gather and analyze data over time. Another critical evaluation involves stakeholders in the evaluation process, such as patients, families, and healthcare professionals, to ensure that the evaluation’s outcomes are relevant and useful (Kamal et al., 2020). This might include collecting their opinion and comments, including them in decision-making regarding future changes, and making appropriate adjustments based on the assessment results. The quality improvement plan should be adjusted as needed to ensure its sustained success. This might include modifying the evaluation process, offering more training or assistance to personnel, or altering the patient care plan.

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

Evaluating the performance of a quality improvement effort is critical for ensuring that it is reaching its objectives and producing the anticipated results. Numerous benchmarks and outcome measures may be used to assess the performance of a quality improvement project in hospice care. These include national, state, and accrediting requirements, as well as other recognized quality indicators in the hospice care area. Patient satisfaction is an essential parameter for determining the effectiveness of a hospice quality improvement project (Fink et al., 2019). Patient satisfaction is an important indicator of the quality of care provided by a hospice and can be assessed by surveys, interviews, or focus groups. National and state standards, as well as accreditation organizations, frequently require hospices to gather and report data on patient satisfaction regularly.

The duration of stay is another significant outcome indicator for determining the efficacy of a hospice quality improvement effort. This indicator tracks how much time a patient spends in hospice care and can give valuable insights into the efficiency and efficacy of the treatment delivered. National, state, and accrediting regulations sometimes require hospices to submit statistics on the duration of stay, and explicit objectives for this measure may be set. Rates of readmission and death are also key outcome metrics for determining the efficacy of a hospice quality improvement project. The number of patients readmitted to hospice care after being released is measured by readmission rates, which can give crucial insights into the continuity of care and the quality of the discharge procedure. Mortality rates, which count the number of patients who die while receiving hospice care, can give valuable information regarding the quality of end-of-life care (Fink et al., 2019).

In addition to these benchmarks and outcome indicators, other national, state, or accrediting criteria may be required to evaluate the performance of a hospice quality improvement project. Specific requirements for patient care, staff training, assistance, or resource use, for example, may be required. These criteria can be useful for assessing the performance of a quality improvement effort and ensuring that it achieves its intended goals and outcomes.

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What Was Most Successful?

It is feasible to determine the areas where the program was most effective by analyzing it using accepted benchmarks and outcome measurements. Patient satisfaction is one area that may be regarded as the most successful. Suppose patient satisfaction data reveals high levels of satisfaction with the hospice care offered. In that case, it may imply that the program was successful in increasing the quality of care delivered to patients (Spada et al., 2019). For example, if patients reported high levels of comfort, symptom reduction, and staff support, it shows that the hospice care met their needs and provided them with the care they required.

Readmission rates are another area that might be regarded as successful. If readmission rates for hospice patients are low, this may suggest that the program was successful in enhancing the discharge process and guaranteeing patients’ continuity of care. A low readmission rate may also indicate that patients were well-prepared for discharge and had gotten the assistance and resources they needed to manage their care at home. Another area that may be deemed most successful is the length of stay. If patients spend a shorter time in hospice care, it may imply that the care offered is more efficient and effective and that patients receive essential therapy and support more rapidly (Spada et al., 2019). Finally, death rates are an important area that may be regarded as the most successful. If the data reveals that patients under hospice care had a decreased death rate, it may imply that the program was effective in increasing the quality of end-of-life care delivered to patients.

Incorporate Interprofessional Perspectives Related To Initiative Functionality And Outcomes.

In a hospice care setting, interprofessional teamwork is crucial to provide comprehensive care for patients and their loved ones. The interprofessional team in this setting generally includes physicians, nurses, social workers, chaplains, and other healthcare professionals (Gurley et al., 2021). The interprofessional team is critical to the success of the QI project because it provides varied views and insights on the care delivered to patients and their families. Physicians, for example, can give useful insight into the medical elements of treatment and the success of symptom management measures. Nurses can give information on how the hospice program operates daily and the impact of care on patients and families. It is critical to talk to interprofessional team members participating in the initiative to acquire this information, such as through surveys, focus groups, or individual interviews. This can aid in identifying each team member’s opinions and better understanding the impact of the QI program on the quality of care delivered to patients and families.

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

Various proposals might be made to improve and broaden the results of a current quality program, including process or protocol improvements, the incorporation of new technology, and the identification of missing or extra outcome measurements (Kamal et al., 2020).

Changes to the Process or Protocol:

  1. Streamlining the patient assessment process so that all patients receive a thorough assessment of their requirements.
  2. Implementing a routine assessment of care plans to ensure that they continue to suit the changing requirements of patients throughout time.
  3. Hospice professionals get continual training and support to enable them to deliver the best possible care to patients and their families.

Quality Improvement Technologies:

  1. Using electronic health records (EHRs) to document patient evaluations and care plans allows interprofessional team members to easily access and exchange information.
  2. Using telehealth technology like video conferencing to provide remote monitoring and care for patients who are unable to attend the hospice in person.
  3. Using decision support tools, such as computerized algorithms, to assist in the formulation of care plans that are tailored to the specific requirements of each patient.

Measuring outcomes

  1. Measuring patient and family contentment with hospice care, including symptom management, emotional and spiritual support, and overall quality of life.
  2. Monitoring the occurrence of adverse events such as falls, infections, and medication mistakes to find areas for improvement.
  3. Monitoring the hospice program’s cost-effectiveness, including the expenses of providing care and the influence on healthcare resource consumption.
  4. Evaluating the hospice program’s influence on end-of-life decision-making, including the use of advance directives and the extent to which patients’ end-of-life desires are honored.

Conclusion

The quality improvement project in hospice care is critical in ensuring that patients and their families receive complete and tailored care throughout their end-of-life journey. This initiative’s performance may be measured using accepted benchmarks and outcome indicators such as patient satisfaction, symptom control, and caregiver burden. The interprofessional team is critical to the initiative’s success because it brings varied views and insights into the quality of treatment given. Incorporating interprofessional views can assist in identifying areas for improvement and informing the creation of new protocols and technology that can improve care quality. To guarantee the initiative’s long-term effectiveness, the processes and protocols utilized in hospice care must be evaluated and improved regularly.

 References

Fink, R. M., Somes, E., Brackett, H., Shanbhag, P., Anderson, A. N., & Lum, H. D. (2019). Evaluation of quality improvement initiatives to improve and sustain advance care planning completion and documentation. Journal of Hospice and Palliative Nursing: JHPN: The Official Journal of the Hospice and Palliative Nurses Association21(1), 71–79. https://doi.org/10.1097/NJH.0000000000000490

Gurley, L., Roberson, J., York, A. B., & Childress, J. (2021). Interprofessional team approach using standardized patient simulation to facilitate person-centered quality healthcare in home hospice care setting. Journal of Hospice and Palliative Nursing: JHPN: The Official Journal of the Hospice and Palliative Nurses Association23(1), 69–77. https://doi.org/10.1097/NJH.0000000000000724

Kamal, A. H., Bausewein, C., Casarett, D. J., Currow, D. C., Dudgeon, D. J., & Higginson, I. J. (2020). Standards, guidelines, and quality measures for successful specialty palliative care integration into oncology: Current approaches and future directions. Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology38(9), 987–994. https://doi.org/10.1200/JCO.18.02440

Salifu, Y., Almack, K., & Caswell, G. (2021). “My wife is my doctor at home”: A qualitative study exploring the challenges of home-based palliative care in a resource-poor setting. Palliative Medicine35(1), 97–108. https://doi.org/10.1177/0269216320951107

Singh, J., Sillerud, B., & Omar, M. (2019). Quality improvement in hospice settings: perceptions of leaders. International Journal of Health Care Quality Assurance32(7), 1098–1112. https://doi.org/10.1108/IJHCQA-04-2019-0084

Spada, C., McNamara, D., Despott, E. J., Adler, S., Cash, B. D., Fernández-Urién, I., Ivekovic, H., Keuchel, M., McAlindon, M., Saurin, J.-C., Panter, S., Bellisario, C., Minozzi, S., Senore, C., Bennett, C., Bretthauer, M., Dinis-Ribeiro, M., Domagk, D., Hassan, C., … Rutter, M. D. (2019). Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy51(6), 574–598. https://doi.org/10.1055/a-0889-9586

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Assessment 2 Instructions: Quality Improvement Initiative Evaluation
• PRINT
• 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.
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:
• Analyze a current QI initiative in a health care setting.
o Identify what prompted implementation of the QI initiative.
o 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.
o Identify the core performance measurements related to successful treatment or management of the condition.
o 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.
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.
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:
• Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
o 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.
o Analyze a current quality improvement initiative in a health care setting.
o 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.
o 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.
o Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

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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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