Assessment 3 Quality Improvement Proposal

Propose a high-level quality improvement initiative for a selected departmental strategic priority, and choose an effective method of presenting your proposal to executive leaders and other stakeholders in the organization and community.

Introduction

Quality improvement and management in healthcare has its roots in the business world and the teachings of quality gurus such as W. Edwards Deming, Joseph Juran, Phillip B. Crosby, and Avedis Donabedian. As healthcare costs rose in the late 1960s, payers wanted assurance that their investments resulted in improved health. More importantly, patients and healthcare professionals wanted assurance that their participation resulted in safe, effective care with positive long-term benefits.

As 21st century healthcare organizations strive for high reliability, executive leadership is tasked with keeping the organization focused on quality and safety. In the previous assessments, you identified an organization’s strategic priorities and provided a comprehensive assessment of stakeholder and leadership influence. High-reliability organizations align quality and safety with strategic goals. Your work in previous assessments will help you identify one strategic priority for improvement.

From the nursing unit level to the executive office, quality equates with attention to the processes and functions that drive and support safety, efficiency, effectiveness, and satisfaction. The DNP-prepared nurse is in a unique position to blend knowledge of systems theory with an understanding of quality management. Added to this mixture is the DNP-prepared nurse’s exquisite appreciation for the holistic needs of individuals and groups.

This assessment provides an opportunity for you to propose a quality improvement initiative that supports a departmental strategic priority.

Preparation

Choose one strategic priority from the departmental strategic plan you developed in Assessment 1 as the focus of a proposed quality improvement initiative.

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your facultys feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your facultys feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

Note: For Flexpath learners, if you choose to make revisions based on feedback from a previous attempt, you should highlight your revisions in yellow. For example, if you made revisions from attempt one and would like faculty to review the content when grading attempt two, the content needs to be highlighted. Therefore, faculty reviews only the content highlighted on attempts two and three. If the entire paper is highlighted, the paper will be returned ungraded and will count as an attempt. Track changes are not a substitution for highlighted text.

Instructions

Before you get started, please watch the following video:

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Develop a presentation, with visual and oral components, of your proposed high-level quality improvement initiative for executive leaders and other stakeholders in the organization and community.

Be creative in showcasing your proposal. Choose a visual presentation method you consider to be both engaging and likely to garner the necessary support and buy-in. For example, you might consider any of the following methods, or something different.

• PowerPoint. ( the speaker notes should be in APA 7th and well aligned,…please less info we want 8-10 mins when i record voice over, make very attractive powerpoints with less information…more info to be on the speaker notes section but not too much info as last one you did previously there was too much info)

Whichever method you choose, consider the information needs of your intended audience, their communication preferences, and possible time constraints on processing your proposal. For this assessment, your presentation should be between 810 minutes.

Evaluation

The following tasks correspond to the grading criteria in the scoring guide, so be sure to address each point in the presentation of your proposed quality improvement initiative. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Explain the rationale for establishing a strategic priority.
• Describe the overarching aim and focus of your proposed quality improvement initiative.
• Use the evidence-based literature to provide broad rationale for establishing this priority.
• Present the key points from a SWOT analysis of a chosen strategic priority.
• Consider the organizations political landscape and strategic priorities.
• Identify key performance indicators for measuring the success of a quality improvement initiative.
• For example: infection rates, customer satisfaction, financial performance indicators, productivity, nurse satisfaction, or other internal metric.
• These indicators could align with those identified on the departmental balanced scorecard.
• Explain the value of stakeholder feedback and the process for collaborating with stakeholders on the proposed quality improvement initiative.
• Identify key stakeholders and explain why their support for this initiative is crucial to its success.
• Explain how you will leverage stakeholder feedback.
• Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.
• Make policy recommendations to support the proposed quality improvement initiative.
• Your recommendations could entail developing a new policy, revising a current policy, or retiring a current policy.
• Describe the policy implications of this initiative and their impact on the organization.
• Justify your recommendations.
• Communicate clearly and concisely in a form and style appropriate for the audience and for the substance, purpose, and context of the message being conveyed.
• Consider the needs of your audience.
• Be succinct and mindful of communication best practices.
• Carefully review your media and materials to avoid errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed initiative.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 3: Propose a strategic plan using an interdisciplinary collaborative approach aligning with organizational priorities that are evidence based.
• Explain the rationale for establishing a strategic priority.
• Present the key points from a SWOT analysis of a chosen strategic priority.
• Identify key performance indicators for measuring the success of a quality improvement initiative.
• Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative.
• Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.
• Competency 4: Recommend implementing policies and regulations to improve the professional practice environment and healthcare outcomes at the system, local, regional, or national levels.
• Make policy recommendations to support a proposed quality improvement initiative.
• Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.
• Conduct a professional visual presentation with video or voiceover.
• Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
• Apply APA style and formatting to scholarly writing.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Criterion 1

Explain the rationale for establishing a strategic priority.

Distinguished

Provides a concise and articulate explanation of the rationale for establishing a strategic priority. The rationale is well supported in the evidence-based literature and reflective of keen insight into the logical implications and consequences of the stated priority.

Criterion 2

Present the key points from a SWOT analysis of a chosen strategic priority.

Distinguished

Presents the key points from a SWOT analysis of a chosen strategic priority. Key points indicate a perceptive analysis that reflects awareness and due consideration of organizational politics and strategic goals.

Criterion 3

Identify key performance indicators for measuring the success of a quality improvement initiative.

Distinguished

Identifies precise key performance indicators, clearly aligned with strategic priorities, for measuring the success of a quality improvement initiative.

Criterion 4

Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative.

Distinguished

Provides a concise, articulate explanation of the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative. Presents an effective strategy for collaborating and draws well-reasoned conclusions about the value of stakeholder support.

Criterion 5

Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.

Distinguished

Explains how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative. Applies an insightful interpretation of applicable theory to best practices in change leadership.

Criterion 6

Make policy recommendations to support a proposed quality improvement initiative.

Distinguished

Makes astute policy recommendations to support a proposed quality improvement initiative. Identifies significant and relevant policy implications and provides compelling justification for policy changes.

Conduct a professional visual presentation with video or voiceover.

Distinguished

Conducts a professional presentation using well designed visual material with appropriate content. The presentation length is 8-10 minutes in an appropriate format. Speaks with confidence and explains the content without too much jargon.

Criterion 8

Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.

Distinguished

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.

Criterion 9

Apply APA style and formatting to scholarly writing.

Distinguished

Applies APA style and formatting to scholarly writing. Exhibits strict and nearly flawless adherence to stylistic conventions, document structure, and source attributions.

Use the resources linked below to help complete this assessment.

Collapse AllQuality Improvement Models

Review the following quality improvement models.

• reading list.

Change Management Strategies

The following readings will help you in completing this weeks assessment:

• reading list.

Effective Audiovisual Presentations

If you choose to present your proposed QI initiative as an audio or video slide presentation, the following resources will help you with slide design and software utilization.

• reading list.
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• This selection of videos constitutes a primer on presentation design.
• Approximate duration: 45:00.
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• This presentation addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.
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• This Campus resource includes tip sheets and tutorials for Microsoft PowerPoint.
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• This library guide provides links to PowerPoint and other presentation software resources.
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• This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips, links, and is itself a PowerPoint template that can be used to create a presentation.

Viewing Systems Through Structural and Human Resource Frames

The following readings will help you understand the frames for understanding organizational systems.

• reading list.