Promoting Health Care QualitySection 5: Evaluation Plan

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With the recognition of the bidirectional link between quality and finance in a healthcare organization, it follows that any changes to one can have an echo in the other. To determine the net result of a change in overall performance status of the organization, one must determine the point where the results of echoes will reach equilibrium.—Sadeghi, Barzi, Mikhail, & Shabot, 2013

This week you have been examining evaluation tools and how they can be used as part of a plan to promote quality and safety. As you develop an evaluation plan for your Course Project, consider the insights you have gained through your analysis of your selected organization, as well as the highly regulated and competitive health care environment.

To prepare:Review the information on evaluation, including data representation and quality monitoring, presented in the Learning Resources. Review your work on the Course Project thus far, particularly Sections 3 and 4. Think about how your quality improvement initiative could be evaluated.

Consider the following:

Which stakeholders need information related to this initiative? What do they need this information for?How would you assess the outcomes in the short-term and long-term? How would you analyze related processes, including but not limited to the one you redesigned in Section 4?How should an analysis of organizational structures be integrated into your evaluation?How would you identify and evaluate any unintended consequences that may arise?What metrics should the organization use to gauge progress and the effectiveness of the quality improvement initiative? How would these metrics incorporate the measures and indicators that you identified in Section 3? Are there additional measures and indicators that you now think should be included?How should the organization track and display data for an interdisciplinary audience? How could the use of a dashboard or balanced scorecard be of value?How could the organization create an integrated view of performance that links finance and quality?

I HAVE INNCLUDED THE PAPERS I SUBMITTED FOR SECTION 1, 3 AND 4. PLEASE REVIEW THEM.

To complete:Develop a 2- to 3-page evaluation plan that includes the following:An outline of the methods that you would propose for evaluating the quality improvement initiative and the financial implicationsA description of specific metrics that integrate your previously identified measures and indicators and any others that you have deemed importantA recommendation of how the organization could represent data related to this quality improvement issue for ongoing monitoring and to determine the value or success of the initiativeAn explanation of how the organization could create an integrated view of performance that links finance and quality

Public Health My Demographic Area Is Boston, My Chosen Topic Is Cigarette Smoking

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ourse Project Part 1

This week, you will be expected to identify a topic and create a framework for your Course Project. By now, you have consumed a vast amount of information and it may be difficult to delineate a specific topic area. In order to pick a topic, consider developing a research question. You have selected a geographic location to study. You have also considered the health statistics, demographics, and policies that may impact the area. Now, you are expected to delineate a topic area.

For example, you might ask, what types of services are provided for diabetic patients in Oklahoma? What are the policies related to diabetes care in Oklahoma? What are some of the social determinants of health that may impact the risk of diabetes or diabetes management? What are preventive methods? What have leaders in Oklahoma done to assure prevention and management of diabetes?

You might also ask, how will the implementation of the Affordable Care Act impact pregnant women in my state. Narrowing down your topic area to a specific policy and target population will enable you to focus your research and in writing your assignment. It is critical that you understand the purpose and intent of the policy as well as study your target population and the policies of the state or community you chose. It will also be important for you to understand what advocacy and community organizations are doing in your state in support or against the implementation of the policy.

Read the following case study from your textbook:

  • Case 7: Challenges with Implementing a Community-Based Potable Water System Project in a Rural Honduran Community

Then, accomplish the following tasks to complete this assignment:

  • Choose a health topic or issue that significantly or adversely impacts the target population in the geographic region or location you have chosen. Describe why the health topic or issue is important to consider.
  • Research health policies, programs, resources, and all other related materials, such as news articles, press releases, etc., that may provide relevant information on the topic.
  • Summarize your findings and create an outline for your Course Project in the following format:
    • On the first page, provide background information on your selected target population and region.
    • Then, provide demographic information as well as major health issues in your chosen area.
    • On the following pages, highlight the topic areas of your paper in an outline format.
    • On a separate page, cite all sources using the APA format.

Submission Details:

  • Write a 5-7 page paper in Microsoft Word format. Apply APA standards to citation of sources.
  • Use the following file naming convention: LastnameFirstInitial_W3_A2.doc.
  • By the due date assigned, deliver your assignment to the Submissions Area.

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Week8 Ref Health

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Prompt: Your reflective journal for this week is your response to the session with Dr. Craigie with incorporation of the content of Chapter 4 in the Craigie book.

Summary:
The purpose of the reflective exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also, reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Boyd, E. M., & Fales, A. W. (1983). Reflective learning: Key to learning from experience, Journal of Humanistic Psychology, 23(2), 99-117.
Hill, M. & Watson, J. (2011). Creating a Caring Science Curriculum. New York, NY: Springer Publishing.

Directions:
The Reflective Exercise Questions will follow your Craigie (2010) readings.

  • A dropbox will become available Monday, 0:01 am PST of the week it is due.
  • Submissions are due by Sunday, 11:59 pm PST
  • this book is for reflections:
  • https://mgh.sharefile.com/share/view/sfa5f50e104f4ac8a

Reflection Journal Activity:

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Summary:

You are to prepare reflection in action notes in which you address what you have learned each week that you will take forward as an Advance Practice Nurse. Entries are to be made weekly and submitted via the Reflection in Action/Study Guide Assignment Dropbox.

Directions:

Each Entry should be at least one page in length and are due on Sunday at the end of each week.

Entries should consist of a 1-page entry regarding this week’s topic.  Discuss the topic in terms of

  • How the content and assignments met the course objective(s).
  • Summarize the key learning points you experienced for the week.
  • Your understanding of pathophysiology as it applies to your current RN practice.
  • Struggles or successes that you had for the week in terms of the course content.  This is meant to be a reflection on the course content, and less of a reflection on your feelings.

Week 8 entry should address the above and contain a summary of your experience in terms of application during your transition to the role of APRN