Supporting Lectures:Review the following lectures:Performance Improvement for Quality CareTotal Quality ManagementDiscussion Questions:Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right” and any specific instructions for this topic.Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.As we have learned this week from our lectures and required textbook reading, leaders and managers in healthcare must work diligently and continuously to assess the health and needs of the populations they serve. Total quality management (TQM) is a process that is used to analyze the available relevant data, plan for improvements where necessary, implement plans, and monitor the plans for effectiveness through formal processes adopted.After thorough research of credible sources from the South University Library and the Internet, please answer the following questions:Why do the Centers for Medicare & Medicaid Services (CMS) believe that prevention of inpatient admissions will improve the quality of care in populations served by hospitals?What specific age group and diagnoses does the CMS monitor for readmissions?Does research tell us that so far prevention of readmissions has improved the quality of care for patients?How has hospital reimbursement been affected by the readmission standard mandated by the CMS?What recommendations (best practices) to decrease hospital readmissions have been suggested by experts in the healthcare field?To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow-up posts need to be submitted by the end of the week.Use the following rubric as a guide to complete your discussion responses.

Appraise economical aspects that influence healthcare delivery systems.   Your hospital received $4,000,000 in  revenue this past year. Medicare withholds 2.6% of this amount ($) until  the value-based purchasing scores are in. If the scores are good this  year, the hospital will earn back this money. If scores are below the  national average, the hospital can lose this money. Twenty five percent  (25%) of this score is based upon the Community Engagement patient  satisfaction score (HCAHPS). Last year’s patient satisfaction scores  (HCAHPS) in the following areas were below the national average, which  cost your hospital $398,000 in revenue.   undefined   The hospital director of Quality Improvement has asked you to participate in developing a nursing action plan for your facility.   undefined Instructions undefined   Prepare a nursing action plan in poster format for improving one of the following key areas that:   undefined Selects one key area of focus:      Communication with nurses Communication with physicians Responsiveness of hospital staff Communication about medications Cleanliness and quietness Discharge information Care transition Examines nursing actions to achieve optimal scores to contribute to the hospital’s financial success. Provides a list of recommended nursing actions to improve the selected key area. Appraises references/resources for best practices to increase score and enhance reimbursement. Communicates the rationale for the nursing actions listed in the action plan. Provides stated ideas with  professional language and attribution for credible sources with correct  APA citation, spelling, and grammar in the action plan poster.

General Requirements:Use the following information to ensure successful completion of the assignment:Locate and download the most recent version of the prospectus template in the DC Network (http://dc.gcu.edu). This document has help and criteria information embedded to assist you in the completion of the prospectus.Locate "The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project" document (completed in previous courses). You will use information from this document to write the prospectus and attach this document as an appendix in the prospectus.Review "Academic Quality Review Checklist (AQR)" (Chapters 1-3 only) for use in writing the prospectus.Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.Directions:Complete a draft of your DPI Project prospectus according to the instructions and criteria provided in each section of the prospectus template. The draft should include information taken from "The 10 Strategic Points for the Prospectus, Proposal, and Direct Practice Improvement Project" document (from previous courses). Use the "Academic Quality Review Checklist (AQR)" (Chapters 1-3 only) to assist you in writing this prospectus. Include the following sections in the prospectus:Introduction: Provide an overview of your project.Background of the Problem: Provide an overview of the history and present state of the problem.Theoretical Foundations: Identify and describe one or two theories or models to be used to inform the project. Identifies the seminal source for each theory or model (a seminal source may be quite old and may be published in a textbook). Illustrate how the theory or model will inform your project.Review of the Literature/Themes: Describe the main and subthemes of your project. You should begin with at least three main themes with three subthemes each. Your literature review will eventually be 30+ pages with over 50 references (85% of these references must be from primary sources that is less than 5 years.Problem Statement: Specify the problem proposed for the project by presenting a clear declarative statement that begins with "It is not known . . . ." Identify the need for the project. Identify the broad population (not the sample) for the project. Describe how this project may contribute to solving the problem.Purpose of the Project: Describe the purpose of this project. Use a declarative statement "The purpose of this project is to . . . ." Describe the methodology and design. Describe the specific population that this project will affect and how this project will contribute to the field.Clinical Questions and Variables: Provide a brief introduction to the question portion. State your clinical questions or PICOT questions. Describe and operationally define each variable of interest.Significance of the Project: Provide an overview of how this project fits with other research in the field. Be specific and relate to other studies. How will this project contribute to the research overall? What is the expected value?Rationale for Methodology: Clearly justify the methods chosen for this project. Ensure the methods align with the project questions or PICOT questions. Describe why this method is the best fit.Nature of the Project Design: Describe the design you have chosen for this project. Discuss why this design is appropriate based on the method chosen and the project questions.Instrumentation or Sources of Data: Describe the sources of data you will use. One source must be a valid and reliable tool, survey, or questionnaire. You may use your discussion question from Topic 3 to assist with this section. Describe in detail all data collection instruments. Describe the validity and reliability of each as appropriate (one must be valid and reliable).Data Collection Procedures: Describe step by step how you will collect data. All major steps need to be described. Include a discussion of project sample recruitment, sample selection, and assignment to groups (as applicable). Describe the process of obtaining informed consent, if applicable.Data Analysis Procedures: Begin by describing your demographic data from your participants. How will you analyze this data using descriptive statistics? Restate each project question or PICOT question. For each question, describe in detail what inferential statistics you will use to analyze your data. Include steps to ensure your data meet the assumptions for each inferential statistic used. Describe the a priori alpha level you plan to use.Ethical Considerations: Provide a description of ethical issues related to your project and how you plan to deal with them. Consider your methodology, design, and data collection. Compare to a randomized controlled trial. Address anonymity, confidentiality, privacy, lack of coercion, informed consent, and potential conflicts of interest. Discuss how you plan to adhere to the Belmont Report key principles (respect, justice, beneficence).