Quality Improvement Initiative Evaluation Essay

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Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you.


By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • 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.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality
    • Incorporate interprofessional perspectives related to initiative functionality and outcomes.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

    Assessment Instructions

    Preparation

    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 specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics.Your target audience consists of nurses and other health professionals with specializations or interest in your selected condition, disease, or issue. In your report, you will define the disease, analyze how the condition is managed, identify the core performance measurements used to treat or manage the condition, and evaluate the impact of the quality indicators on the health care facility:Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback, before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.The numbered points below correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.
    1. Analyze a current quality improvement initiative in a health care setting.
      • Evaluate a QI initiative and explain what prompted the implementation. Detail problems that were not addressed and any issues that arose from the initiative.
    2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
      • Analyze the benchmarks that were used to evaluate success. Detail what was the most successful, as well as what outcome measures are missing or could be added.
    3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
      • Integrate the perspectives of interprofessional team members involved in the initiative. Detail who you talked to, their professions, and the impact of their perspectives on your analysis.
    4. Recommend additional indicators and protocols to improve and expand quality outcomes of a quality initiative.
      • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
    5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
    6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

    Submission Requirements

    • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
    • Number of references: Cite a minimum of four sources (no older than seven years, unless seminal work) of scholarly peer reviewed or professional evidence that support your interpretation and analysis.
    • APA formatting: Resources and citations are formatted according to current APA style and formatting.

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Explanation & Answer

Attached.

Running head: QUALITY IMPROVEMENT INITIATIVE EVALUATION

Quality Improvement Initiative Evaluation
Name
Institution

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QUALITY IMPROVEMENT INITIATIVE EVALUATION

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Quality Improvement Initiative Evaluation
The system of healthcare is composed of the wide group of professions in the healthcare
sector who are entitled to offering various levels of care. A nurse who is registered is a primary
giver influencing the health of a patient as well works in collaboration with other professions
such as doctors, physician psychiatrist in the overseeing and provision of competent and safe
care. In most of the healthcare centers, the input and planning of the care to be offered to patients
is done by nurses, as they are who spend prolonged time with the nurses (Sullivan & Schoelles,
2013). In the healthcare facilities, there are weekly meetings that are conducted that offer the
staff a chance to give an understanding on quality improvement (QI) initiatives to offer
competent and safe care and introduce preventive measures in the care of the patients.
The significance of the preventive measures in QI will be addressed using Maimonides
Medical Centre as a format of initiatives for quality improvement. Maimonides Medical center
established the initiative of QI with the aim of boosting the preventive measure in the course of
admissions in the hospitals. Even though prevention of the pressure ulcers needs efforts that are
multidisciplinary the nurses act a primary role in impacting the outcome of the patient. The
Agency established the utilized initiative framework for Healthcare Research and Quality of the
United States that give a publication on how to prevent the pressure ulcers (Sullivan & Schoelles,
2013).
In the evaluation of the QI initiative, there will be an assessment of nurse regarding their
knowledge quality as well as on the implementation of the preventive measures of pressure ulcer.
The aim is to observe this two and determine which has positive influences on the preventive
care outcome. Depending on the outcomes a recommendation of appropriate indicators and
protocols for further improvement of the healthcare center will be outlined.

QUALITY IMPROVEMENT INITIATIVE EVALUATION

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Analysis of the Quality Improvement Initiative
The addressing of the QI will be of great advantage to the facility of healthcare and may
result to increase in the safety goals of the patient. In almost all cases, pressure ulcers are
preventable. Its preventive care will reduce the adverse occurrence; boost the health quality and
the offered care to satisfy the patient. The cost of healthcare will also reduce as a result of
increasing the facility reimbursement. The QI initiative at Maimonides will commence with a
recommendation of IHI, which entails analysis among the knowledge of staff concerning the
guidelines that are up to date with two initial steps. They include patient’s risk identification and
current preventive measure implementation under the utilization of the risk patients. The results
of the steps will be allocated information that is valuable to address the increasing number of
case of pressure ulcer that is being recorded in the course of hospitalization and establish a QI
that is successful.
For several years now, it has been known of the risks that are linked with pressure ulcers,
and prevention protocols have been implemented through the number of these cases in the health
facilities is still high. The centers that are above the average number of the pressure ulcers cases
need continuing education on the matter and also on the improvement of the initiatives focused
on its prevention.
Several of the quality initiatives that have been successfully put in place have motivated
pressure ulcers prevention via the establishment of programs that utilize guidelines that are
evidence-based. Establishment of these programs commenced with a heightened aim with a
requirement of patient assessment that is head-to-toe as well as an appropriate recording of the
cases of pressure ulcers that were present at the time of admission (Averill et al., 2017). This did
not have the aim of dismissing but rather to make sure that extra care was given concerning their

QUALITY IMPROVEMENT INITIATIVE EVALUATION

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presence and to inhibit the increase in risks of pressure ulcers complications. The programs also
had an aim in establishing of staging guides of pressure ulcers in the charts of each patient. On
top of this, education on understanding the difference between sores that are as a result of sheer
force and pressure ulcers was continued.
The success of quality improvement initiative via benchmarks and outcome measures
There was the implementation of the entire standard of the protocol of care. A major
component of the quality initiative of a decrease in the prevention of pressure ulcers with the
recommendation from evidence-based charges involves the modification of recording of the
electronic medical documents to cause a trigger a reminder concerning the assessment of the
patient from head-to-toe at the time of admission. If the evaluation was done at the time of entry,
and the pressure ulcers were diagnosed, the patient would consult a nurse in charge of the wound
care, and detailed plan of treatment is developed from that time.
The primary focus of the improvement plan is on treatment and prevention depending on
the situation. It also aims at utilizing different products that are made for treatment and
prevention of the ulcers. According to Hooper & Morgan (2014).This initiative was in one of the
benchmarked facility which gave an onset prevalence of about 16.2% of the pressure ulcers.
After two years with the same initiative plan the prevalence rate had reduced to an approximate
rate of about 6.3% and had save around 78% costs incurred in the care of the pressure ulcers.
Interprofessional perspectives related to initiative functionality and outcomes.
Every nurse in the health facility is conversant with the tasks of wound care as they do
this every day. Nevertheless, pressure ulcers are at times regarded as wound care but can be
prevented, and that brings the aim of improving the initiative that is within the healthcare
centers. For the success of the initiatives improvement, total buy-in is required within the inter-

QUALITY IMPROVEMENT INITIATIVE EVALUATION

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professional team to make sure there is the success. The functionality of the initiative relies on
the team's strength as well as efforts in education that is from the facility's executives (Averill et
al., 2017).
The significant fact to the boosted initiative is that education is a must for all the clinical
and nursing staff. Competency education aims at protocols reinforcement for the new nurses or
for those who may have forgotten or need of additional training concerning the ulcer care.
Participation in the affairs of skincare is an additional component that offers teachings
concerning wounds and skin, use products with new technology that assist in prevention and
pressure ulcers healing. This provides the capability of demonstrations participations about these
products as well about their documentation and utilization. Training for ulcers prevention is
another focus as well as identification of patients in significant risk and causes that can be
mitigated.
Research has also shown that the ulcers are among the complications that are infectious
that patients can undergo regardless of the prevention measure in place. This has a considerable
effect on the quality of the initiatives as well as the support from the interdisciplinary team that is
required due to the highest impact levels on the efforts of patient care within the center.
Recommend Additional Indicators and Protocols
Establishment of the educational plans that are a significant component of the quality
initiative improvement ought to be attached to elements with the established management system
and criteria for the educational system. Part of the initiatives that are successful concerning
pressure ulcer reduction has been built with the use of action that includes the following. First,
according to Hanna-Bull (2016), is interdisciplinary wound care and skin team that has been
structured and implemented an improvement in the quality initiate to boost prevention of HPUs

QUALITY IMPROVEMENT INITIATIVE EVALUATION

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that is acquired from the facility. Also, the products of the prevention were accessed efficiently
by the staff and regular assessment t of the volume in hand, appropriate maintenance of stock in
every nursing unit. Also, there is adherence, and continuing education which is alignment with
monitoring of the accountability of staff and all these participate in results that are positive
Hanna-Bull (2016).
They are part of a small sampling of the extra factors plus the established educational
programs that are ongoing within the center that help in making sure there is successful
indicators improvement. However, strict supervision of compliance these programs are needed
and usually need some program tweaks that are formed after information gathering from the
participants of the initiative programs. The pressure ulcers reduction initiatives have resulted in
cost reduction within the health facilities, and this is proven Hanna-Bull (2016), The pressure
ulcers highly cost the facility than the preventive measures can do thus the implementation of the
preventive measures reduce the costs. Several types of research have concurred with this such as
the AHRQ documented that about 22.5 % reduction in pressure ulcers in the past four years
resulted in saving of cost exceeding 10 billion dollars.
Conclusion
With such success rates and the immediate savings as a result of success in the
improvement initiatives of pressure ulcers, the actions can be said to be a significant focus in the
healthcare centers all over. The programs will permit for an increase in effectiveness and
efficiency in the patient care levels. Consequently, this will result in a reduction in the time of
the patient stay as well as an increase in the satisfaction of the patient as well as the physicians
and the nursing staff.

QUALITY IMPROVEMENT INITI...


Anonymous
Really helpful material, saved me a great deal of time.

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