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Key Evidence-Based Quality Improvement Initiatives
Key Evidence-Based Quality Improvement Initiatives
Order ID 53003233773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper 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
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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