Draft a 6-page report on outcome measures, issues, and opportunities for the executive leadership team or applicable stakeholder group.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.

As a nurse leader, you may be called upon to submit a detailed report to your executive leadership team and key stakeholders that describes a quality or safety problem and its effects on outcomes, fully supported by relevant and credible data.

This assessment provides an opportunity to draft such a report in which you can call attention to quality and safety issues and opportunities, effectively support your position, and lay out a plan for change.

This assessment is based on the executive summary you prepared in the previous assessment.

Preparation

Your executive summary captured the attention and interest of the executive leadership team, who have asked you to provide them with a detailed report addressing outcome measures and performance issues or opportunities, including a strategy for ensuring that all aspects of patient care are measured.

Note: Remember that you can submit all or a portion of your draft report to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

  • How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
  • What arguments might be most effective in obtaining agreement and support?
  • What recommendations would you make to implement a proposed plan for change?

 

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Outcome Measures, Issues, and Opportunities Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Outcome Measures, Issues, and Opportunities Scoring Guide and Guiding Questions: Outcome Measures, Issues, and Opportunities [DOCX] to better understand how each criterion will be assessed.

Drafting the Report
  • Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
  • Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
  • Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close. Create a spreadsheet showing the outcome measures.
  • Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
  • Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.

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CU_Horiz_RGB Assessment 3 Guiding Questions

Guiding Questions

Outcome Measures, Issues, and Opportunities

This document is designed to give you questions to consider and additional guidance to help you successfully complete the Outcome Measures, Issues, and Opportunities assessment. You may find it useful to use this document as a pre-writing exercise, an outlining tool, or as a final check to ensure that you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment. Do not turn in this document as your assessment submission.

Drafting the Report

Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.

For example, consider such functions, processes, and behaviors as leadership practices, communications, quality processes, financial management, safety and risk management, interprofessional collaboration, strategic planning, using the best available evidence, and questioning the status quo on all levels.

What makes these organizations high performers?

What are these organizations doing that less successful organizations are not?

How does your organization or practice setting compare to these benchmarks of high-performance?

Determine how organizational functions, processes, and behaviors affect outcome measures.

What is the extent of the positive and negative effects on the outcome measures?

What are the reasons for these effects?

Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close.

Create a spreadsheet showing the outcome measures.

Refer to the example outcome measures spreadsheet, linked in the resources, that shows medication reconciliation compliance rates.

Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.

What issues or opportunities are relevant to the systemic problem that you are addressing?

What factors give rise to these performance issues or opportunities?

What are their potential effects on outcomes?

Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.

What are the key steps needed to implement your strategy? You are encouraged to use one of the change models included in the Mitchell (2013) article.

How will information, knowledge, and best practices be shared?

Writing, Supporting Evidence, and APA Style

As you begin composing your report, consider the

Outcome Measures

Appendix
Fall Prevention Outcomes & Measures for Practice Change
Fall Outcomes FY’19 Target FY’20 Jan Feb Mar Apr May Jun Jul Aug Sept
Total Number of Falls 200 50 10 12 18 22
Falls with Injury 125 0 0 4 6 7
Unwitnessed Fall 125 0 8 8 10 12
Repeat Fall 100 0 4 5 10 12
Fall Prevention Measures FY ’19 Target FY’20 Jan Feb Mar Apr May Jun Jul Aug Sept
Initial Fall Risk Assessment Within 4 hr 40% 100% 50% 40% 60% 70%
Utilization of Complete Fall Bundle 50% 90% 40% 50% 60% 66%
Hourly Rounding 75% 90% 70% 80% 100% 100%
Bedside Shift Report 0% 100% 40% 50% 89% 82%
Repeat Fall Measures Implemented 0% 100% 0% 0% 20% 35%
Fall Bundle in Place on High Fall Risk Patients 0% 100% 0% 0% 30% #0%
End of Worksheet

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Document Format: Margins are 1 in. (2.54 cm) on all sides.

All text in the document should be double-spaced.

The font is 12-point Times New Roman. Other choices are 11-point Arial and 11-point Calibri.

The title page is page 1.

There is no running head for learner assignments. (See Academic Writer: Publication Manual §§ 2.1–2.24 for paper requirements.)

Full Title of Your Paper Comment by Author: APA Style: Sample Papers shows the title page for a student paper.

Learner’s Full Name (no credentials)

School of Nursing and Health Sciences, Capella University

Course Number: Course Name

Instructor’s Name

Month, Year Comment by Author: The due date

Abstract Comment by Author: NO abstract for this course

An abstract is useful in professional papers, but not always in learner assignments. In fact, unless you are instructed by your faculty or in the course syllabus, do not expect to use abstracts very often at Capella. If you are submitting for publication, remember to check with the journal or professional organization about their criteria for an abstract. The abstract tells your reader about the article, is brief, and stands alone, so no citations are included. The format for an abstract is a single paragraph (not indented on the first line) that follows the title page and is less than 250 words in length. A structured abstract will have a single paragraph without indentation but having labels (e.g., Objective, Method, Results, and Conclusions) on the same line as the text and bold. For published works, the publishing organization will give you guidance on these. However, for student papers, no abstract is needed unless the faculty request one or the assignment requires it. Remember, no citations. Comment by Author: See Academic Writer: Publication Manual §§ 2.9–2.10 (p. 38 in the APA manual) for more information on abstracts.

Keywords: include keywords in the abstract—they should be labeled like this, with the words all in lowercase and separated by commas. Only the first line is indented, like a regular paragraph. No period at the end.


Title of Your Paper (note this is in bold font!!)

American Psychological Association (APA) style is one of the most popular methods used to cite sources in the social sciences, but it is not the only one. When writing papers in the programs offered at Capella University, you will likely use APA style. This document serves as an APA style resource for the seventh edition guidelines, containing valuable information that you can use when writing academic papers. For more information on APA style, refer to the Publication Manual of the American Psychological Association, also refer