NUR-630: Performance Improvement and Quality in Health Care

NUR-630: Performance Improvement and Quality in Health Care

NUR-630: Performance Improvement and Quality in Health Care

NUR 630 (Performance Improvement and Quality in Health Care) — Complete Course — Topic 1 till 8 — Assignments & Discussion Questions with Solutions

NOTE: This package contains the following files.

NUR 630 Topic 1 Assignment: Visual Model
NUR 630 Topic 1 Discussion Question 1
NUR 630 Topic 1 Discussion Question 2 
NUR 630 Topic 2 Assignment: Health Care Culture
NUR 630 Topic 2 Discussion Question 1 
NUR 630 Topic 2 Discussion Question 2 
NUR 630 Topic 3 Discussion Question 1 
NUR 630 Topic 3 Discussion Question 2 
NUR 630 Topic 4 Assignment: CLC — Quality Models 
NUR 630 Topic 4 Discussion Question 1 
NUR 630 Topic 4 Discussion Question 2 
NUR 630 Topic 5 Assignment: Benchmark — Outcome and Process Measures
NUR 630 Topic 5 Discussion Question 1 
NUR 630 Topic 5 Discussion Question 2 
NUR 630 Topic 6 Discussion Question 1 
NUR 630 Topic 6 Discussion Question 2
NUR 630 Topic 7 Assignment: Benchmark — Hospital-Associated Infections Data 
NUR 630 Topic 7 Discussion Question 1 
NUR 630 Topic 7 Discussion Question 2 
NUR 630 Topic 8 Assignment: Overview of Quality in Health Care 
NUR 630 Topic 8 Discussion Question 1 
NUR 630 Topic 8 Discussion Question 2

NUR 630 Topic 1 Discussion Question 1

Description:
You are assigned to a quality team on rehabilitation floor where patient falls are on the rise. What strategy would be best to approach this issue quality improvement, evidence-based practice, or research? Support your choice with one or two examples and one or two references.

NUR 630 Topic 1 Discussion Question 2

Description:
Some consider the integration of evidence-based practice a “cookbook” approach. Do you agree or disagree? Explain. Support your position with one or two examples and one or two references.

NUR 630 Topic 2 Discussion Question 1

Description:
Using the AHRQ “SOPS Surveys” webpage found in the topic materials, select the SOPS survey appropriate for practice setting in which you work. Complete the survey at your site and discuss how your facility scored. What changes would you recommend based on the survey results?

NUR 630 Topic 2 Discussion Question 2

Description:
Two nurses make a medication error: One causes an adverse event with a patient and other does not. Should the nurses be disciplined, and if so, should they be disciplined the same way? Why or why not? How would this be addressed in just culture?

NUR 630 Topic 3 Discussion Question 1

Description:
Your unit data reflects an upward trend in blood administration errors. It is likely an individual failure or a system failure? Which theory or model would you use to address it?

NUR 630 Topic 3 Discussion Question 2

Description:
Select a problem that you have experienced or identified within your workplace or in a health care setting. What steps would you take to address the problem?

NURS 630 Topic 4 Discussion Question 1

Description:
You are a member of an operating room team. The hospital is reporting an increase in the complication rates from your team. Choose one of the quality models and explain how you would use it to address the cause or adverse events.

NUR 630 Topic 4 Discussion Question 2

Description:
You are the nurse leader on an obstetrics unit. You have been tasked to utilize a Six Sigma approach for standardizing the discharge process. Where do you start?

NUR 630 Topic 5 Discussion Question 1

Description:
Measurement is required to determine the success of your CQI project. What is the difference between outcome and process measures? Which are more important? Why? Support your reasoning with an example.

NUR 630 Topic 5 Discussion Question 2

Description:
Identify which of the following approaches you would choose to assist in determining and measuring outcomes: FMEA, Pareto Principle, and control charts. Describe the best approach and explain why you chose it?

NUR 630 Topic 6 Discussion Question 1

Description:
What is the difference between primary and secondary data? How can primary and secondary source data be used to drive CQI? Provide a specific example of how each source can be used to drive CQI.

NUR 630 Topic 6 Discussion Question 2

Description:
Describe at least two limitations to both primary and secondary data and how understanding those limitations can improve your future CQI work.

NUR 630 Topic 7 Discussion Question 1

Description:
Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?

NUR 630 Topic 7 Discussion Question 2

Description:
You are going to present data that has been collected to your administrative group. The focus is on outcome measures and the data collected is unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?

NUR 630 Topic 8 Discussion Question 1

Description:
What two elements do you believe play the most significant role in sustaining change and why? Support your answer with one or two references.

NUR 630 Topic 8 Discussion Question 2

Description:
The concept of a “Just Culture” has a number of key elements. Choose the two elements that you feel are the most difficult to achieve and provide one strategy for each that will make them achievable.

NUR 630 Topic 1 Assignment Visual Model

Description:
The purpose of this assignment is to differentiate quality improvement (QI), evidence-based practice (EBP), and research. Create a graphic image or visual model differentiating quality improvement, evidence-based practice, and research. You can use PowerPoint, Smart Art in Word, or other software that creates a graphic. Be creative in your design. Include the following information in your graphic image or visual model:
1. Compare and contrast quality improvement, evidence-based practice, and research. Identify at least one similarity and difference for each.
2. Provide an example of quality improvement, evidence-based practice, and research.
3. Explain why quality improvement, evidence-based practice, and research would be applied in a health care setting.
4. This assignment requires a minimum of two scholarly sources.

NUR 630 Topic 2 Assignment Health Care Culture

Description:
The purpose of this assignment is to discuss health care culture and describe how CWV can be used to improve ethical practices. In a 1,000–1,250 word essay, discuss the important factors associated with health care culture. Include the following in your essay:
1. A definition of health care culture, including culture of excellence and safety.
2. Two or three examples of principles for building a culture of excellence and safety.
3. An explanation of the role of various stakeholders in improving health care culture.
4. An explanation of how Christian worldview (CWV) principles might be used by health care organizations to improve ethical practices, whether they are Christian or not.
5. Two or three examples of how the integration of faith learning and work at GCU can be implemented by individuals to improve health care culture. This assignment requires a minimum of three scholarly sources.

NUR 630 Topic 4 Assignment CLC — Quality Models

Description:
This is a Collaborative Learning Community (CLC) assignment. The purpose of this assignment is to examine quality models used in health care. With your CLC group, create a 10- 15 slide PowerPoint on Lean, Six Sigma, and 5S quality models. Include the following in your presentation: 1. A description of each quality model.
2. A brief history of each quality model.
3. A description and examples of how each quality model can be applied to the health care setting.
4. Include a title slide, references slide, and comprehensive speaker notes.

NUR 630 Topic 5 Assignment Benchmark — Outcome and Process Measures

Description:

In a 1,000–1,250 word paper, consider the outcome and process measures that can be used for CQI. Include the following in your essay:
1. At least two process measures that can be used for CQI.
2. At least one outcome measure that can be used for CQI.
3. A description of why each measure was chosen.
4. An explanation of how data would be collected for each (how each will be measured).
5. An explanation of how success would be determined.
6. One or two data-driven, cost-effective solutions to this challenge.

NUR 630 Topic 6 Assignment Quality Data Sources

Description:
The purpose of this assignment is to become familiar with various data sources used by health care organizations to obtain quality data. The Agency for Healthcare Research and Quality (AHRQ) creates an annual report, the National Healthcare Quality and Disparities Report, which assesses the performance of the U.S. health care system. This report identifies strengths and weaknesses of the health care system in addition to disparities for access to health care and quality of health care. The report is based on more than 250 measures of quality and disparities, and it covers a broad range of health care services and settings. Access the “2017 National Healthcare Quality and Disparities Report Data Sources” through the AHRQ website, using the link provided in the topic materials. Select five data sources from this report and fill in the required components on the “Quality Data Sources Organizer.”

NUR 630 Topic 7 Assignment Benchmark — Hospital-Associated Infections Data

Description:
Create a 10–15 slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint:
1. What conclusions can be drawn for each quality measure over the 5-year period?
2. What trends do you see for each quality measure over the 5-year period? 3. When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time? 4. Based on your examination of the data, which of the quality measures should you prioritize and why?
5. Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
6. Explain how you would monitor the metric and use collected data for improvement.

NUR 630 Topic 8 Assignment Overview of Quality in Health Care

Description:

Choose one quality or patient safety concern with which you are familiar and that you have not yet discussed in this course. In a 1,250–1,500 word essay, reflect on what you have learned in this course by applying the concepts to the quality or patient safety concern you have selected. Include the following in your essay:
1. Briefly describe the issue and associated challenges.
2. Explain how EBP, research, and PI would be utilized to address the issue. 3. Explain the PI or QI process you would apply and discuss why you chose it.
4. Describe your data sources, including outcome and process data.
5. Explain how the data will be captured and disseminated.
6. Discuss which organizational culture considerations will be essential to the success of your work. This assignment uses a rubric

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NUR-630: Performance Improvement and Quality in Health Care

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NUR-630: Performance Improvement and Quality in Health Care

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS NUR-630: Performance Improvement and Quality in Health Care

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