Quality Improvement Initiative Evaluation
Professional Context
Too often, discussions about quality health care, care costs, and outcome measures take place in isolationeach group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes.

Instructions
You have been asked to prepare and deliver an analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether or not specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your target audience is nurses and other health professionals with specializations or interests in your chosen condition, disease, or public health issue.

In your report you will:

Define the disease.
Analyze how the condition is managed.
Identify the core performance measurements related to successful treatment or management of the condition.
Evaluate the impact of the quality indicators on the health care facility.
Be sure to address the bullet points below in your analysis, as they correspond to grading criteria in the scoring guide. You may also want to read the Quality Improvement Initiative Evaluation Scoring Guide to better understand the performance levels that relate to each grading criterion.
Additionally, be sure to review the Guiding Questions: Quality Improvement Initiative Evaluation document, linked in the resources, for additional clarification about things to consider when creating your assignment.

Analyze a current quality improvement initiative in a health care setting
Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
Incorporate interprofessional perspectives related to initiative functionality and outcomes.
Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.

Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with the correct use of grammar, punctuation, and spelling.
Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Resources:

https://www.nursingworld.org/practice-policy/nurse-staffing/

https://www.jointcommission.org/standards/national-patient-safety-goals/

For this discussion, review the following two resources from this unit’s Studies section:

Core Measures.
National Database of Nursing Quality Indicators.
As you know, quality indicators are common measures that apply to most patients or disease-specific measures that convey the quality of clinical care for patients with specific diagnoses. Using standard quality indicators to measure and report outcomes helps ensure that medical facilities are providing safe, effective, patient-centered care. We use both qualitative and quantitative data to explore our success with health care delivery and outcome measures. Interprofessional teams need to use this information to define, develop, and implement quality processes.

In this discussion, describe the quality indicators and specific data types used in your organization.

Define quality outcomes in your organization.
What have you learned from the specific quality indicators about your nursing practice and your role on an interprofessional team?
How have quality indicators helped you identify areas for improvement as a provider and team member?
Describe a decision you made based on quality indicators and how this affected the interprofessional team as a support system.

Organizational Care Goals for Interprofessionals
Reflect on the specific care goals in your organization. Think about how they are measured, monitored, and discussed with interprofessional team members. In addition, in your organization, how are goals to improve care chosen, and how do interprofessional team members collaborate in the setting, monitoring, and achieving of goals? For this discussion, consider the following

Identify specific care goals in your organization.

What guidelines does the organization follow to determine and measure patient outcomes and care goals?
How do interprofessional team members participate and collaborate in the setting, monitoring, and achievement of patient goals?
How do interprofessional team members effect change in the organization within the context of a specific outcome measure?

Mrs. Collins could have an injection in several joints in her body. Mrs. Collins did not have an adverse reaction to the medication, but what if she did? There could have been several errors that could have taken place that led to an adverse reaction. Explain at least 2 errors that could have caused an adverse reaction and the rights that were violated and why.

For your citation, you might use articles that show examples of proper technique for administering medication. You can also find articles that suggest how to report medication errors.

What are two drugs that you think should be available withouta prescription? In your explanation of why you selected those drugs, include general precautions and possible adverse reactions. 

For your citation, you might use articles that show examples of drugs that had been prescription drugs in the past but no longer require a prescription. You can also find articles about how other countries classify prescription drugs to determine if the same process can be applied in the U.S

Watch the video, John Kotter – Communicating a Vision for Change at

https://www.youtube.com/watch?v=bGVe3wRKmH0

Based on this video, assess the means of communication that are available to us as leaders. Review Kotters comments regarding communication, and efficient and effective communications. As the leader of a large organization implementing a change, develop a strategy for communicating your vision of change. Discuss the tools that the organization would use as well as the frequency of communication.

*** Please use 3 or more scholarly sources

Topics for Selection
Working within the framework of the Unemployment office, select one of the following HR-related issues. Focus on how HRIS would be utilized by public administrators to approach the specific topic in a more effective, more efficient manner.

    Identifying performance issues with current employees and developing the means to improve performance.
o    These activities must be tracked to measure employee performance to ensure it is meeting or exceeding performance requirements for the organization.

    Identifying and developing outstanding performers through training, coaching, or mentoring to better prepare them for future challenges and opportunities within the organization.

Assignment Instructions
In your assignment, address the following:
    Evaluate the use of HRIS in supporting effective HR practices by public administrators managing the Unemployment office.
o    Provide a specific example to illustrate your point. 
    Evaluate the use of HRIS in supporting effective communications between the Unemployment office and external factors associated with the selected employee topic.
o    Provide a specific example to illustrate your argument. This might include anyone external to your agency, which could be the HR function of the city or county, or a corporate attorney for the city or county.
    Evaluate the use of HRIS in supporting more effective internal communications within the Unemployment office in relation to the selected topic.
o    Provide a specific example to illustrate your point. This might include communications with the employee, other organizational units, or other leadermanagers within the organization.

Submission Requirements
Your assignment should meet the following requirements:
    Written communication: Written communication should be free of errors that detract from the overall message.
    APA format: Resources and citations must be formatted according to current APA style and formatting. When appropriate, use APA-formatted headings.
    Resources: Your ideas must be supported with relevant scholarly sources that are dated within the past five years and are properly cited and referenced in current APA style. There is no minimum number of citations for this paper.
    Length of paper: 67 typed, double-spaced pages, in addition to a title page, references page, and if included, an abstract.
    Font and font size: Times New Roman, 12 point.

This week, you studied academic culture through an anthropological lens. You explored the variety of cultures that make up a single institution, and you learned about the value added by their interaction. You also read in depth about at least one culture of your choosing.

Bergquist talks about managing polarities (or conflicts) between cultures. He claims that each culture has an interdependent culture, one with opposing values and perspectives (as portrayed in the multimedia piece). Think about the two interdependent cultures that you chose to read about.

M1.3 Tattoos in Culture (Week 3)
This activity invites you to think critically about modern culture utilizing a mainstream featuretattoos. The assignment must be completed in two steps as presented below. You must post an initial response to the first part of the assignment before commenting on a post from someone else.

STEP 1: Respond to the following prompt in a post between 200 and 400 words:

Search online, perhaps using Google images, for two public figures (athletes, celebrities, etc.) who are visibly tattooed. Addressing the questions and issues raised by your readings, explain what culturally relevant symbolic meanings those individuals tattoos might have. In what cultural context do these persons operate?

For example, how might their tattoos signify differently in the NFL vs. in the high fashion world? In mixed martial arts vs. hip hop? What do those specific tattoo styles say about ones countercultural or subcultural identity? Are they connected to any biographical and ethnic origins or contexts? How controversialor entirely acceptableare they? To help your colleagues write up their responses, be sure to paste your images directly into the thread with your first post.

This weeks assignment is STEP 2 Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question.

The student will answer the items below in a Word doc and submit to the assignment link.

Provide a title that conveys or describes the assignment.
Project Purpose Statement Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
Background and Significance State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
PICOt formatted Clinical Project Questions Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
References Cite references using APA 7th ed format.