Key Evidence-Based Quality Improvement Initiatives
Order ID:89JHGSJE83839 Style:APA/MLA/Harvard/Chicago Pages:5-10 Instructions:
Key Evidence-Based Quality Improvement Initiatives
Application: Quality Measures
“The gold standard for defining quality measurement remains Donabedian’s three-element model of structure, process, and outcome” (Varkey, p. 30).
Although this model of quality measurement may apply to all kinds of clinical care facilities, you will focus on hospitals for this assignment so that you can make use of data on the CMS’s “Hospital Compare” Web site. Using this Web site, you will examine quality information for a particular hospital, and conduct some basic benchmarking analysis.
To prepare for this Application:
Visit the Hospital Compare Web site:
http://www.medicare.gov/hospitalcompare/?AspxAutoDetectCookieSupport=1
Click on the links at the top titled “learn about the new organization of our Hospital Compare Measures” and review them briefly.
On the top left there is another tap titled “About Hospital Compare Data” that Shows information on Process of Care Measures, Outcome of Care Measures, and Outpatient Imaging Efficiency Measures.
As you consider this information, bring to mind the six dimensions of quality: Safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Search…through step 3.
For the purposes of this assignment, go back to the 1st page and select a hospital by either entering the zip code for the hospital or the name of the hospital. When you’ve done that and clicked on Show Hospitals, you should have hospitals that you can compare. Follow the directions to review Patient Survey Results (HCAHPS survey results), Timely and Effective Care or Readmissions, Complications and Deaths.
Consider which organizations are most appropriate to compare for benchmarking purposes. Use the Hospital Compare website and compare your primary hospital’s data with data from another hospital – either one in the same area or one across the country, as you think appropriate.
After comparing the data, assess which measures you think are of the greatest concern and in need of improvement in your primary/original hospital. What is your rationale for this assessment? Select two or three measures to focus on for this assignment. Consider which dimensions of quality they relate to (safety, effectiveness, patient-centeredness, timeliness, efficiency, and/or equity).
Review this week’s Learning Resources, new the hospital’s Web site, and consider what other steps you would take to get a clearer picture of these quality issues.
The Assignment
Write a 1- to 2-page paper that addresses the following:
Identify the primary hospital you have selected.
Identify the measures you have chosen to focus on (those that are most in need of improvement or that otherwise warrant attention). Compare and contrast the characteristics of structure, process, and outcome measures, and explain which category or categories your chosen measure relates to. Also, indicate the dimensions of quality with which these measures are associated.
Briefly summarize the data, including your benchmarking analysis.
Analyze the benefits and challenges of externally reported measures for health care providers and for patients. Also, explain why benchmarking can be useful for identifying areas for improvement.
This Application is due by Day 7 of this week.
Your written assignments must follow APA guidelines
Quality Research
Health care professionals must be able to review and evaluate the use of evidence in health care quality literature. This involves critical thinking skills and discernment, as well as a sound knowledge of the characteristics of quality measurement.
To prepare for this Discussion:
Identify one of the six dimensions of quality (safety, effectiveness, patient-centeredness, timeliness, efficiency, or equity) that you would like to focus on for this Discussion.
Conduct research using the Walden library and select an article that relates to the quality dimension you have selected. You may use any credible resource for your research. The following are a few examples of journals that you may wish to include in your search: The Lancet, The New England Journal of Medicine, The Journal of the American Medical Association, the Journal of American Medical Informatics Association, and the Journal of Nursing Care Quality. The article you select must have a robust discussion of quality research to meet the requirements of this Discussion.
Evaluate the use of evidence in this article. Consider the various criteria identified in this week’s Learning Resources (e.g, the reliability and validity of data, proper experimental design, accurate statistical analysis).
Post by Day 4 a response to the following:
Identify the article you have selected in the first line of your posting and note the related quality dimension(s).
Briefly summarize the article.
Evaluate the use of evidence in this article. Explain the ease or difficulty you experienced in assessing the evidence as a result of the information provided in the article. Share your analysis of the necessary characteristics of quality measurement.
Share quality-related questions or insights you have gained from reading this article.
Week 2: External Quality Improvement
Introduction
Successful health care organizations recognize that quality assessment and improvement are central to clinical service delivery, and they integrate this perspective into their day-to-day operations. In addition, many of the efforts that drive quality improvement originate from government and other agencies outside of health care settings. External efforts include standards set by various organizations to promote the delivery of safe, high-quality patient care. In addition, the health care consumer plays a pivotal role in quality improvement. As transparency and public reporting are increasingly emphasized, patients’ needs and expectations will continue to shape improvement efforts.
This week, you will examine the various external forces that guide quality improvement efforts.
Objectives
By the end of this week, students will be able to:
Evaluate key evidence-based quality improvement initiatives
Identify the foremost accrediting agencies and outline their roles and responsibilities
Describe certification, credentialing, and continuing education and their role in quality improvement
Key Evidence-Based Quality Improvement Initiatives
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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