Day: February 21, 2021

For this written assignment, you will prepare an executive summary for the CEO using the same sentinel event addressed earlier in the course. This report will be prepared for the CEO of the organization where the sentinel event occurred. The CEO is then required to provide details from the executive summary to the Board of Trustees and other stakeholders in the organization to identify the next steps of managing the sentinel event.

Managing a sentinel event usually consists of the following steps: immediate action, planning the investigation, data collection, data analysis, corrective action plan, and reporting to accreditation agencies.  Address the following in the Executive Summary to CEO template.

Part 1: The Sentinel Event

Summarize the facts related to the sentinel event:
Description of the event
Staff involved
Discuss the timeline events from initiation of the error through the resolution (will vary depending upon the sentinel event):
When and/or where did the error occur?
When was it detected?
When was it reported and to whom?
Evaluate procedural errors:
Identify the point in time when the error should have been detected before it occurred.
What part of the process or procedure was missed that contributed to the sentinel event?
Analyze accreditation agency (e.g., OSHA, ACHA, CMS, CDC, CLIA, TJC, AHCA, state agencies) requirements:
Identify which agency(s) would be involved
Define the agencys purpose
Discuss the agencys reporting expectations based on the incident

Part 2: Root Cause Analysis: Fishbone Diagram

Create a fishbone diagram. You will be responsible for creating the CQI Tool (fishbone), completing the tool, copying or taking a screenshot of the completed work, and pasting the completed fishbone diagram into the final document.
If you are unfamiliar with the fishbone, please refer to the Using Quality Improvement Methods for Evaluating Health Care article by Siriwardena (2009).
In addition, as a learning resource, the CQI tool listed below is hyperlinked to the Institute for Health Care Improvement website, which discusses and illustrates an example of the Fishbone. Tools: Cause and Effect Diagram
Part 3: Root Cause Analysis Report

Create a root cause analysis.
Identify the data you would collect to determine the cause.
Give your rationale for choosing the data.
Identify the probable cause, which may include a process failure, human error, cultural biases, policy error, systems error, technology failure, etc., that may have contributed to the sentinel event. Consider the following as applicable to your chosen event as you complete this segment:
What human factors were relevant to the outcome?
What process errors were relevant to the outcome?
Were there any steps in the process that did not occur as intended?
How did the equipment performance affect the outcome?
What are the other areas in the health care organization where this could happen?
Did staff performance during the event meet the expectations?
Develop a corrective action plan that is geared towards eliminating future events.
Explain the steps of implementing the corrective action plan. Consider the following in developing your response to this component:
Identify risk reduction strategies
Improvement of processes or systems
Communication barriersfor example, discuss the communication breakdown that might have contributed to the sentinel event, or what barriers may have occurred to cause the breakdown in communication (e.g., residual intimidation, reluctance to report a coworker, missing information at time of transition of care, etc.).
Training (e.g., orientation, professional development, cultural competency, skills training, in-service)
Equipment (e.g., technology, maintenance, and updates)
Policies and procedures (e.g., new or revised)
Describe the monitoring process that will be used to evaluate the success of the corrective action plan.
Analyze the components that may require the reallocation of budgetary resources. Consider the following as applicable to your sentinel event:
Legal action
Public relations (reputation leading to decreased revenue)
Equipment and supplies
Training and education
Patient-centered communication methods (e.g., informed consent, procedural education, patient involvement [identify or mark the location of the surgical site])
Staffing (e.g., reallocating staff, role responsibilities, hiring temporary or permanent staff)
Paper requirements:

The Executive Summary to CEO capstone assignment

Must be a minimum of 10 double-spaced pages in length (not including title and references pages) and formatted according to APA Style as outlined in the Writing Centers APA Formatting for Microsoft Word
Must include a separate title page with the following:
Title of paper
Students name

Course name and number
Instructors name
Date submitted
Must utilize academic voice.

See the Academic Voice resource for additional guidance.
Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.

For assistance on writing Introductions & Conclusions as well as Writing a Thesis Statement, refer to the Writing Center resources.
Must use at least eight credible sources of which four must be from the Ashford University Library and must have been published within the past ten years.
The Scholarly, Peer-Reviewed, and Other Credible Sources table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.
To assist you in completing the research required for this assignment, view this Ashford University Library Quick n Dirty tutorial, which introduces the Ashford University Library and the research process, and provides some library search tips.
Must document any information used from sources in APA Style as outlined in the Writing Centers APA: Citing Within Your Paper
Must include a separate references page that is formatted according to APA Style as outlined in the Writing Center. See the APA: Formatting Your References List resource in the Writing Center for specifications.

You will be required to write a five-page research paper. The paper should incorporate a concept/topic of your choice found in the textbook chapters that were assigned during the course. The paper should consist of a title page, body of the paper, and reference page. The title and reference page are NOT included in the five-page count. NO abstract page is required.
You will need to incorporate five outside sources from a reputable business or economic sources into your paper and document it on a Reference page (Not Work Cited page).
The paper should utilize APA format, 12 pt font, Times New Roman.
The first research paper is due in week 5 and the second research paper is due in week 10. Must be completed and uploaded to Canvas by Sunday at 11:55 PM of the week it is due in order to get credit for that week. This requirement will typically take approximately 10 hours to complete.
The intent of this paper is for you to research a topic that interests you and tie it back to economics. This is an opportunity for you to be very creative. Take risks with the paper!  I will not penalize you for taking risks.  Please do not write a paper repeating sections of the textbook in your own words.
The following are some topic examples to help you to think creatively: The impact of student loan debt on career choice after graduation. Why are people leaving San Francisco? Impact of Brexit on London economy.  Impact of professional sports on neighborhoods.  Have fun with your topic.
Your Turnitin similarly score should not be higher than 24% and you should have a green indicator before submitting it.

As believers in Christ, we are called to live a life that is distinctly different from the world around us. In Colossians 3:2, Paul instructs us to set our hearts and minds on things above, not the things of this world. To focus on the things above, there are things of this world, some habits, attitudes, practices, and sins that need to go. We have to begin to remove and separate ourselves from any destructive behavior or attitudes. Remember back to Workshop Two, we move from the darkness into the light, because we are children of light. In Colossians 3, the list of things we need to remove from our life is fairly inclusive: evil attitudes, evil speech, deception, and several types of impurity. The list of things we should strive towards is similar to many of the traits and virtues we discussed in this course. Some of the characteristics include compassion, kindness, humility, and honesty. The love of Christ is what ties these virtues together. As believers in Christ, these virtues should shine from our lives.

Colossians 3:2-10 (NIV):

Set your minds on things above, not on earthly things. For you died, and your life is now hidden with Christ in God. When Christ, who is your life, appears, then you also will appear with him in glory. Put to death, therefore, whatever belongs to your earthly nature: sexual immorality, impurity, lust, evil desires and greed, which is idolatry. Because of these, the wrath of God is coming. You used to walk in these ways, in the life you once lived. But now you must also rid yourselves of all such things as these: anger, rage, malice, slander, and filthy language from your lips. Do not lie to each other, since you have taken off your old self with its practices and have put on the new self, which is being renewed in knowledge in the image of its Creator.

Colossians 3:12-14(NIV):

Therefore, as Gods chosen people, holy and dearly loved, clothe yourselves with compassion, kindness, humility, gentleness, and patience. Bear with each other and forgive one another if any of you has a grievance against someone. Forgive as the Lord forgave you. And over all these virtues put on love, which binds them all together in perfect unity.

Requirement:
1.Reread Colossians 3:2-10 and Colossians 3:12-14.
https://www.biblegateway.com/passage/?search=Colossians+3%3A2-10+&version=NIV

2. Reflect and respond to the following questions.

3.How well are you modeling these traits?

4.Are you still hanging onto old characteristics or sins or trying to be clothed in both the old and new at the time?

5.Identify an area that takes your focus off God? How does this area consume your time?

6.It is hard to sin and focus on God at the same time.  By releasing the sin, how do you think that will change your focus on God?

Your reflection post should be at least one full page in length and incorporate at least one Scripture other than those covered in the assignment, that supports your post.