NURS 8302 Week 4 Assignment 2

Assignment 2: Leading organizations for quality improvement initiative

NURS 8302 Week 4 Assignment 2 TO PREPARE:

Review the Learning Resources for this week, and reflect on tools for measuring quality in nursing practice.

Select three rate-based measurements of quality that you would like to focus on for this Assignment.

Note: These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care, and for the purposes of this Assignment, an analysis of staffing levels is not permitted.

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You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose only one of the three measures to be some form of patient satisfaction measure. NURS 8302 Week 4 Assignment 2

Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the measures were collected, and how these measures are communicated to both internal and external stakeholders.

Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance.

Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of healthcare, and overall quality of healthcare.

THE ASSIGNMENT: (8–10 PAGES)

Describe the three rate-based measures of quality you selected, and explain why.

Deconstruct each measure to include the following:

Describe the definition of the measure.

Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.).

Explain how the data for this measure are collected.

Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a percentile ranking. Be specific.

Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.

Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be specific and provide examples.

Describe the importance of each measure to a chosen clinical organization and setting.

Using the websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic, or private office. A total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings.

Note: Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the Instructor for guidance. You do not need actual data from a given organization to complete this Assignment.

Explain how each measure you selected relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific and provide examples.

BY DAY 7

There is nothing to submit this week. This Assignment is due by Day 7 of Week 4.

LEARNING RESOURCES

Required Readings

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

Chapter 4, “Data Collection” (pp. 107–26)

Chapter 5, “Statistical Tools for Quality Improvement” (pp. 127–169)

Agency for Healthcare Research and Quality. (2018)). Key driver 2Links to an external site.

: Implement a data-driven quality improvement process to integrate evidence into practice procedures. https://www.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html

Required Media

Institute for Healthcare Improvement. (n.d.). Quality improvement essentials toolkitLinks to an external site.

[Multimedia file]. http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx

NURS 8302 Week 4 Assignment 2 Rubric

Criteria
Ratings

Pts
20 pts

25 pts
20 pts
20 pts

5 pts
5 pts
5 pts

Total Points: 100

20 to >17.0 pts

Excellent

The response accurately and clearly describes in detail three rate-based measures of quality…. The response provides accurate and specific details that fully support the selection of the three rate-based measures described.

17 to >15.0 pts

Good

The response accurately describes three rate-based measures of quality…. The response provides accurate details that support the selection of the three rate-based measures described.

15 to >13.0 pts

Fair

The response inaccurately or vaguely describes three rate-based measures of quality…. OR… The response describes less than three rate-based measures of quality…. The response provides inaccurate or vague details that may support the selection of the rate-based measures described.

13 to >0 pts

Poor

The response inaccurately and vaguely describes three rate-based measures of quality, or it is missing…. The response provides inaccurate and vague details that do not support the selection of the rate-based measures described, or it is missing.
This criterion is linked to a Learning Outcome

Deconstruct each rate-based measure to include the definition of each measure, explanation of the numerical description of how the measure is constructed, explanation of how the data is collected, description of how the measure is compared externally, explanation of whether or not the measure is risk adjusted, and a description of the how goals might be set for each measure. Be specific, and provide examples. NURS 8302 Week 4 Assignment 2