Prepare a data analysis and quality improvement initiative proposal based on a health issue of interest.

** this paper has strict directions and competencies that need to be met in order to successfully complete the paper. I work in the neonatal intensive care unit so i would like if my QI proposal be based around that unit. I wrote a paper on breast milk scanning and a possible A Quality Improvement Project to Reduce Mother’s Own Milk Administration Error Risk in the NICU. there is plenty of data and research on such issues in the NICU. if you base it off that, it might be easiest but if you find a better, information filled QI project with data to use for the paper in the NICU please let me know before starting the paper. I also included the example paper that it should be similar too. Again please follow ALL competencies and directions along with every statement used that is factual needs a citation within 5 years or else i will get docked points.**

Prepare a data analysis and quality improvement
initiative proposal based on a health issue of interest. Include
internal and external benchmark data, evidence-based recommendations to
improve health care quality and safety, and communication strategies to
gain buy-in from all interprofessional team members responsible for
implementing the initiative.

Introduction

Health care providers are perpetually striving to improve care
quality and patient safety. To accomplish enhanced care, outcomes need
to be measured. Next, data measures must be validated. Measurement and
validation of information support performance improvement. Health care
providers must focus attention on evidence-based best practices to
improve patient outcomes.

Health informatics, along with new and improved technologies and procedures, are at the core of all
quality improvement initiatives. Data analysis begins with provider
documentation, researched process improvement models, and recognized
quality benchmarks. All of these items work together to improve patient
outcomes. Professional nurses must be able to interpret and communicate
dashboard information that displays critical care metrics and outcomes
along with data collected from the care delivery process.

For this assessment, use your current role or assume a role you hope
to have. You will develop a quality improvement (QI) initiative
proposal based on a health issue of professional interest. To create
this proposal, analyze a health care facility’s dashboard metrics and
external benchmark data. Include evidence-based recommendations to
improve health care quality and safety relating to your selected issue.
Successful QI initiatives depend on the support of nursing staff and
other members of the interprofessional team. As a result, a key aspect
of your proposal will be the communication strategies you plan to use to
get buy-in from these team members.

Preparation

To develop the QI initiative proposal required for this assessment,
you must analyze a health care facility’s dashboard metrics. Choose
Option 1 or 2 according to your ability to access dashboard metrics for a
QI initiative proposal.

Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you, complete the following:

Analyze data from the health care facility to identify a health
care issue or area of concern. You will need access to reports and data
related to care quality and patient safety. For example, in a hospital
setting, you would contact the quality management department to obtain
the needed data. It is your responsibility to determine the appropriate
resource to provide the necessary data in your chosen health care
setting. If you need help determining how to obtain the needed
information, consult your faculty member for guidance.
Include in your proposal basic information about the health care
setting, size, and specific type of care delivery related to the
identified topic. Please abide by Health Insurance Portability and Accountability Act (HIPAA) compliance standards.

Use your current role or assume a role you would like to have.
Choose a quality improvement initiative of professional interest to you.
Your current organization is probably working on quality improvement
initiatives that can be evaluated, so consider starting there.

To develop your proposal you will:

Gather internal and external benchmark data on the subject of your quality improvement initiative proposal.
Analyze data you have collected.
Make evidence-based recommendations about how to improve health care quality and safety relating to your chosen issue.

Remember, your initiative’s success depends on the interprofessional
team’s commitment to the QI initiative. Think carefully about these
stakeholders and how you plan to include them in the process, as they
will help you develop and implement ideas and sustain outcomes. Also,
remember how important external stakeholders, such as patients and other
health care delivery organizations, are to the process. As you are
preparing this assessment, consider carefully the communication
strategies you will employ to include the perspectives of all internal
and external stakeholders in your proposal.

The following numbered points 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 proposal addresses all of the content below. You may also want to
read the scoring guide to better understand the performance levels
related to each grading criterion.

Analyze data to identify a health care issue or area of concern.

Identify the type of data you are analyzing from your institution or from the Vila Health activity.
Explain why data matters. What does data show related to outcomes?
Analyze the dashboard metrics. What else could the organization measure to enhance knowledge?
Present dashboard metrics related to the selected issue that are critical to evaluating outcomes.
Assess the institutional ability to sustain processes or outcomes.
Evaluate data quality and its implications for outcomes.&
Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.

Examine the nursing process for variations or performance failures that could lead to an adverse event or near miss.
Identify trends, measures, and information needed to critically analyze specific outcomes.
Specify desired outcomes related to prevention of adverse events and near misses.
Analyze which metrics indicate future quality improvement opportunities.
Develop a QI initiative proposal based on a selected health issue and supporting data analysis.

Determine benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
Identify any internal existing QI initiatives in your practice
setting or organization related to the selected issue. Explain why they
are insufficient.
Evaluate external national or international QI initiatives on
the selected health issue with existing quality indicators from other
facilities, government agencies, and nongovernmental bodies on quality
improvement.
Define target areas for improvement and the processes to be modified to improve outcomes.
Propose evidence-based strategies to improve quality.
Analyze challenges that meeting prescribed benchmarks can pose for a health care organization and the interprofessional team.
Communicate QI initiative proposal based on
interdisciplinary team input to improve patient safety and quality
outcomes and work-life quality.

Define interprofessional roles and responsibilities relating to data and the QI initiative.
Explain how to ensure all relevant interprofessional roles are fully engaged in this effort.
Identify how outcomes will be measured and data used to inform interprofessional team performance related to specific tasks.
Reflect on the impact of the proposed initiative on work-life quality of the interprofessional team.
Describe how the initiative enhances work-life quality due to improved strategies supporting efficiency.
Determine communication strategies to promote quality improvement of interprofessional care.

Identify interprofessional communication strategies that will help to promote and ensure the success of the QI initiative.
Identify communication models, such as SBAR and CUS, to include in your proposal.

SBAR stands for Situation, Background, Assessment, Recommendation.
CUS stands for “I am Concerned about my resident’s condition; I am Uncomfortable with my resident’s condition; I believe the Safety of the resident is at risk.”
Consult this resource for additional information about these
fundamental evidence-based tools to improve interprofessional team
communication for patient handoffs:

Agency for Healthcare Research and Quality (AHRQ). (n.d.). Module 2: Communicating change in a resident’s condition. https://www.ahrq.gov/professionals/systems/long-term-care/resources/facilities/ptsafety/ltcmod2ap.html
Communicate QI initiative proposal in a professional,
effective manner, writing clearly and logically, with correct use of
grammar, punctuation, and spelling.
Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Example Assessment: Refer to QI Initiative Proposal Exemplar [PDF] for an idea of what an assessment given a proficient or higher rating on the scoring guide would look like.

Additional Requirements

Submission length: 10- 12 pages typed, double-spaced pages of content plus title and reference pages.
Font: Times New Roman, 12 point.
Number of references: Cite a minimum of five current scholarly and/or authoritative sources to support your QI initiative proposal. Current means no older than 5 years unless a seminal work.
APA formatting: Citations and references need to adhere to APA style and formatting guidelines. Consult these resources for an APA refresher:

Evidence and APA.
APA Module.
American Psychological Association. (n.d.). APA style. https://www.apastyle.org/

Competencies Measured

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

Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.

Determine whether any adverse event or near-miss data must be factored in to outcomes and recommendations.
Competency 2: Plan quality improvement initiatives in response to routine data surveillance.

Develop a QI initiative proposal based on a selected health issue and supporting data analysis.
Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.

Analyze data to identify a health care issue or area of concern.
Competency 4: Integrate interprofessional perspectives to lead
quality improvements in patient safety, cost effectiveness, and work
life quality.

Communicate QI initiative proposal, based on interdisciplinary
team input, to improve patient safety and quality outcomes and work-life
quality.
Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.

Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.
Determine evidence-based communication strategies to promote quality improvement of interprofessional care.
Communicate QI initiative proposal in a professional, effective
manner, writing clearly and logically, with correct use of grammar,
punctuation, and spelling.

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