Answer & Explanation:Combine all four parts of the QI plan into one document, making sure to include instructor feedback. Organize the plan as you would present it to the organization’s board of directors for approval. Use the QI Plan Template as a guide. In the QI Plan Template, complete the following:Evaluate various data collection and display tools used in performance measurement.Evaluate tools used to measure and report data.Analyze various improvement methodologies for integrating quality improvement strategies into performance measurements.Analyze the impact of information technology applications on performance measures.Analyze the use of internal and external benchmarking and milestones in managing the utilization of quality indicators.Evaluate criteria and tasks for developing quality improvement plans.Analyze how performance and quality measures are aligned to the organizations mission, vision, strategic and operational plans.Evaluate strategies for meeting regulatory and accreditation standards within health care organizations.Evaluate measures used to monitor and revise quality program implementation.Evaluate barriers that can interfere with the implementation of quality measures.Evaluate strategies to ensure successful implementation of quality measures. Write a 350- to 700-word executive summary related to your QI plan which includes an evaluation of the following:Evaluate the current state of QI at the organization, its organizational and operational QI structure, authority, mission, methodology, and tools used.Recommend how the organization will achieve its objectives over the long term.Evaluate challenges that may impact the future of health care quality improvement.Evaluate effect of health care quality improvement on operational and financial performance.Format your paper according to APA guidelines.Cite 5 peer-reviewed, scholarly, or similar references to support your paper.
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Quality Improvement Plan Template
HCS/588 Version 5
1
University of Phoenix Material
Quality Improvement Plan Template
In this course, you develop an organizational quality improvement (QI) plan for a health care
organization of your choice. Organize the plan as you would present it to the organization’s board
of directors for approval. Use the following outline as a guide when developing your plan.
Executive Summary: A one-page overview of the plan
Introduction/Purpose: Introduce the organization and state its mission. Describe the types of
services the organization provides. This section must be approximately half a page.
Goals/Objectives: Describe what goals the organization has to meet its mission. These are
principles that shape how the organization views and achieves quality. Examples may involve the
concepts of safety, effectiveness, timeliness, and patient centeredness. This section must be
approximately half a page.
Scope/Description/QI Activities: Describe what departments, programs, and activities are
affected by the plan and why they are involved in its implementation. This section must be
approximately half a page.
Data Collection Tools: Describe the type of performance data to be collected and why that data
is focused on. Describe why each data collection and display tool was selected for the QI plan.
This section must range from half a page to a full page.
QI Processes and Methodology: Describe the methodology and processes used to implement
the plan. This must explain why each methodology and process are in the plan and why they
were chosen. This section must range from half a page to a full page.
Comparative Databases, Benchmarks, and Professional Practice Standards: Describe what
the organization will use as a standard to compare performance. This section must be one
paragraph. This may be through a number of methods such as a comparative database or a
competing organization’s annual report.
Authority/Structure/Organization: Describe the authority structure of the plan’s implementation.
This must describe who is responsible for implementing the plan. Include a description of each
role involved in the plan. This section must be approximately half a page:
Board of directors
Executive leadership
Quality improvement committee
Medical staff
Middle management
Department staff
Communication: Identify who the performance activity outcomes are communicated to and who
does the communicating. This describes who is responsible for overseeing data collection and
preparing data reports. This section must be approximately one paragraph.
Copyright © 2015 by University of Phoenix. All rights reserved.
Quality Improvement Plan Template
HCS/588 Version 5
2
Education: Describe how staff will be educated regarding the plan. This covers how each staff
member will be initially oriented to the plan and each employee fits into the plan based on job
responsibilities. This section must be approximately one to two paragraphs.
Annual Evaluation: Describe what elements of the plan are annually evaluated for improvement.
This section must be approximately one paragraph.
Copyright © 2015 by University of Phoenix. All rights reserved.
Running head: QI PLAN PART 1
1
QI Plan Part 1
Michael Benitez
HCS / 588
August 22, 2016
Martin Delgado
QI PLAN PART 1
2
Part 1: Data Collection Tools
Data needed to monitor improvements
At Davis Health Care, with the intention of improving the services, there must be a
description of data that is essential for monitoring patient safety improvements. At Davis Health
Care, the system that collects data must be configured with the intention that the information is
gathered the same each time. This will assist the team in having the utmost accurate and credible
data that is gathered. According to Health and Human Services Administration (2011), “A
successful approach to reliable data collection includes proven tools, techniques, processes, and
frameworks, and often involves automating parts of the data collection process if feasible”
(2011). It is important that the team has an effective and detailed QI plan in place. (Health and
Human Services Administration, 2011).
Data collection tools and types of information collected
For gathering information of performance, is root-cause analysis is the first tool that one
can use. The root-cause analysis does not fix the obvious, but it fixes issues that take place at the
root. For reporting errors along with showing the difference in the middle of active and latent
errors, this is a valuable tool. For improving other areas, one can use this used. Failure modes
and effects analysis are the second that is used for stopping certain events along with making the
better care quality. Six-sigma is the last tool that is used for showing the way the defects and
variations effectively decreased and to improve the health care.
Strengths and weaknesses of each data collection tool
With tools of data collection, there come certain weaknesses and strengths. Lewallen
(2016), stated that “the benefits of root-cause analysis are that it uncovers relationships between
causes and symptoms of problems, works to solve issues at the root itself and provides tangible
QI PLAN PART 1
3
evidence of cause and effect and solutions” (para. 1). One drawback associated with is that if
nobody distinguishes the cause, it may not be found. With failure modes and effects analysis, one
drawback is that it’s only worthy if the team members are good. For this analysis, strength is that
it makes quality and safety better for the process (Smith, 2016). There are also some pros and
cons of Six-sigma. One significant advantage is that it has been proven to assist in making sales
better, along with the company’s growth, stock value, and employee growth (Webb, 2016). One
drawback of this tool is that if an organization is not committed to using it, it can be difficult to
use.
Data collection tools similarities and differences
There are certain similarities in the tools of data collection. They all are similar for the
reason that they assist in improving and making a collection of data easy for business. Every tool
of data collection will add to improve the safety of patient at David Healthcare. The differences
related to the tools of data collection are that every tool uses dissimilar methods for collecting
data.
Part 2: Data Display, Measurement, and Reporting
Tools that measure and display QI data and types of data displayed
QI data can be measured and displayed by a number of tools. A run chart is a tool that
one can use. The other name of the run chart is a line graph. It will actually show the way the
performance has been within a particular period of time. It shows whether the improvements are
working or not. Also, there are dashboard reports. Once can make it with the help of Microsoft
Office Excel. A run chart represents the recent data in summary along with forming it deprived
of all of the particulars from the causes as well as also solutions. These tools will assist in
improving the patient safety’s QI plan.
QI PLAN PART 1
4
Measurement, display, and reporting tool’s strengths and weaknesses
When it comes to the reporting, display, and measurements tools, there are certain
strengths. When it comes to a run chart, a number of benefits are there. With dissimilar sorts of
data, one can use run chart in a number of dissimilar manners. On a run chart, one can also found
the critical periods of time. Run chart does not have a number of weaknesses; the single
weakness associated with the run chart is that the variations do not tell the outcomes of the cause
and effect. “Dashboards can distill extensive data into a single page of succinct results, and it can
reduce the flood of paper to a trickle (Kyd, 2014, p1). Certain weaknesses related to the
dashboard reporting include the poorer performance, inhibited access to resources, unintuitive
technology, and data does not automatically refresh (Kyd, 2014).
Measurement, display, and reporting tools similarities and differences
In dashboard reporting and run charts, there are few similarities. Both of them show
information on data, along with showing variations to measure data. In dashboard reports and run
charts, there are some differences also. The differences associated with dashboard reporting and
run chart can be seen in the way they work and the way they look.
Health care importance of measurement, display and reporting tools
Using reporting, display, and measurement tools in health care are imperative. There are
a number of incidents that needs to be avoided. Mainly, errors in healthcare take place due to
faulty processes and equipment. With the help of these tools, it can assist in showing a lot of
useful data for improving the quality of care and patient safety. Health and Human Services
Administration (2011) stated that “The goals of measuring health care quality are to determine
the effects of health care on desired outcomes and to assess the degree to which health care
QI PLAN PART 1
5
adheres to processes based on scientific evidence or agreed to by professional consensus and is
consistent with patient preferences” (Health and Human Services Administration, 2011, p4).
Conclusion
At Davis Health Care, with the intention of improving the services, there must be a
description of data that is essential for monitoring patient safety improvements. For gathering
information of performance, is root-cause analysis is the first tool that one can use. There are
certain similarities in the tools of data collection. They all are similar for the reason that they
assist in improving and making a collection of data easy for business. QI data can be measured
and displayed by a number of tools. When it comes to the reporting, display, and measurements
tools, there are certain strengths. Using reporting, display, and measurement tools in health care
are imperative.
QI PLAN PART 1
6
References
Kyd, C. (2014). Introducing Excel Dashboards for Management Reporting. Retrieved from
http://exceluser.com/excel_dashboards/intro.htm
Lewallen, R. (2016). Benefits of Root Cause Analysis. Retrieved from
http://codebetter.com/raymondlewallen/2008/12/20/benefits-of-root-cause-analysis/
Smith, D.L. (2016). FMEA: Preventing a Failure Before any Harm is Done. Retrieved from
U. S. Department of Health and Human Services Health Resources and Services
Administration. (2011). Managing Data for Performance Improvement. Retrieved from
http://www.hrsa.gov/quality/toolbox/508pdfs/managingdataperformanceimprovement.pdf
Webb, C. (2016). The Strengths & Weaknesses of Six Sigma. Retrieved from
http://smallbusiness.chron.com/strengths-weaknesses-six-sigma-10407.html
Running head: QI PLAN 2
1
Michael Benitez
HCS / 588
August 29, 2016
Martin Delgado
2
QI PLAN 2
QI Plan Part 2
Introduction
There are a number of areas that require improvements in systems of health care. This is
contingent to the numerous culture, people or hospitals in a particular area, beliefs and numerous
reasons as well. For improvement, there are numerous models in which there are two basic
components, for example, it starts by addressing several vital questions, for example, the way
one can know if a particular change is improving or not. A vital cycle improvement is the 2nd
part of the cycle. In the QI plan’s second part, the paper will concentrate on managing a
particular area of healthcare performance, discussing the numerous improvement models,
existing technology and numerous milestone and benchmarks that can be considered for
enhancement in the plan (Strome, 2013).
Improving Quality
One can view health literacy as an extent to which people have a capability of obtaining,
understanding common info that manages the facilities of health care; this is also associated with
the key information that is required to make appropriate and good decisions in health care.
Models of quality improvement are therefore required for attaining suitable literacy of health in
every facility of health care (Carnevale, 2012). There are three models that will be concentrated:
the six sigma, the lean model, and the Plan-Do-Study-Act model.
Quality improvement models
Plan-Do-Study-Act (PDSA)
For a variety of improvements, the healthcare institutes have been widely using PDSA;
PDSA is used for making a positive change in the systems of healthcare along with impacting its
consequences for encouraging outcomes and therefore using the PDSA model (Carnevale, 2012).
QI PLAN 2
3
Because of its cyclical nature, PDSA is able to assess and impact numerous changes. For this
model, the key goal to come up with an efficient relation in the middle of the process’ changes
and the outcomes, i.e. it focuses on the processes’ capabilities and behaviors. For PDSA cycle,
three key questions are used, these are:
1. The project’s aim
2. The way it can be recognized that the project’s purpose has been attained.
3. What needs to be done for reaching the project’s objective?
These abovementioned questions show the PDSA entire process from starting to the end.
Six Sigma Techniques
Six Sigma Techniques were designed originally as a business strategy or model. It
comprises processes designing, improvements along with monitoring. This is to minimize or
eliminate wastage along with making the most of the satisfaction and increasing the monetary
constancy. Six Sigma is utilized for seeking the improvement size with the comparison of the
ability of process after considering the possible solutions for developments and the ability of the
baseline process. There are two key practices used in conjunction with six sigma; the final
outcome of the process is inspected by the first method while the estimations for predicting the
process performance are used by the second process.
Lean method
It focuses on the customers’ needs’ identification. The key objectives of this method are
to make the healthcare processes better along with eliminating numerous activities that are
useless to the improvement process of customer service. This method comprises maximization of
the value added undertakings in the best practice that one can accomplish. The lean method is
somehow associated with the process of six-sigma and overlaps with it sometimes but varies
4
QI PLAN 2
from one another in the method utilized in both of them; sometimes it is contingent to the rootcause analysis for finding out the numerous errors along with making the process quality better.
(Carnevale, 2012).
Information Technology Application
With the intention of improving processes of healthcare, the two technologies that
systems of healthcare need to use a program of Therapeutic Consultation and implementation of
Health Information Exchange and an Electronic Medical Record (EHR) with e-Prescribing.
A program of Therapeutic Consultation assists in lowering costs by giving patients with
chronic diseases a better outcome. It ensures that prescribed medicines are given correctly to the
patients. It decreases the doctor’s visits to the hospital because of adverse drug interactions or
ineffective prescriptions. A program of Therapeutic Consultation utilizes the narration of claims
of drug that categorize the patients who do not meet with procedure of treatment. A program of
Therapeutic produces noteworthy outcomes (Stanton, M. W., & Rutherford, M. K. (2002).
On the other hand, the second technology, Health Information Exchanges and Electronic
Health Records (EHR) with e-Prescribing lessen the cost along with providing security by
observing safety of patients. Electronic Health Records are medical records that comprise the
medical history of the patients that is electronically available. The EHRs are allowed by the
Health Information Exchange for being exchanged in the middle of stakeholders of healthcare
with the intention that the information can be utilized for caring the patients anywhere, anytime.
Implementation of e-Prescribing raises the patients’ satisfaction and competencies. EPrescribing discards the chances of errors when it comes to analysis a prescription written by the
doctor. The orders can be sent electronically to the pharmacy. The pharmacologist no longer
5
QI PLAN 2
has to guess prescription written by the doctor. This technology removes the chances that the
wrong medicine is received by the patient (Stanton, M. W., & Rutherford, M. K., 2002).
Benchmarking and Milestones
The usage of milestones and benchmarks enables the facility for looking at indicators of
quality to compare the current performance with the past performance. This enables the firm for
seeking that the other organizations are performing worse or well as compared to them. The
business can find new ways for improvements if they found the competitors performing well as
compared to them. The benchmarking provides the real data along with providing the facility
with its internal and external environment (Jenkins, 2011). Milestones enable the firm for
marking smaller successes as the required changes are implemented.
Mission and Vision
Mission and vision statements assist in describing the purpose of the organization. Also,
organizational values are included in the vision statements. These statements also provide
directions for the behavior of employees along with assisting them in providing inspiration.
The mission statement will assist in measuring whether the strategic plan is aligned with the
business’ overall goals or not. The vision statement assists in providing motivation to employees.
Workers who feel devoted to the change of organization are more expected for staying motivated
and having higher productivity levels.
Barriers and Implementation
In the industry of health care, challenges come with the evolution and progress of change.
Particularly when it comes to deal with the technology, challenges are a must with the
continuous changes in health care. The usage and implications of newer technologies must be
accomplished in an effective manner. Ensuring that the business will benefit from the technology
QI PLAN 2
6
is crucial to its implementation. Similarly, the staff needs to be properly educated and trained.
This creates challenges and takes times for the staffs. The selected procedure of training is
Process-based training. Such training is to train the employees regarding how to utilize the new
systems. The new systems can raise problems concerning the flow of work. The workers that are
heading for using the newer systems will need to distinguish their responsibilities. Along with
the hand-offs that might take place (Kushinka, 2010).
7
QI PLAN 2
References
Carnevale, A. P., & Georgetown University. (2012). Healthcare. Washington, D.C: Georgetown
University, Georgetown Public Policy Institute, Center on Education and the Workforce.
Strome, T. (2013). Healthcare Analytics for Quality and Performance Improvement. Hoboken:
Wiley.
Stanton, M. W., & Rutherford, M. K. (2002). Reducing costs in the health care system: learning
from what has been done (No. 9, p. 3). Rockville: Agency for Healthcare Research and
Quality.
Jenkins, M. (2011, June 09). The value of benchmarking.
Retrieved from http://www.cmmonline.com/articles/the-value-of-benchmarking-3
Gottschalk P., 2005. Strategic Knowledge Management Technology.
Idea Group Inc (IGI), 2005
Kushinka, M.B.A., Full Circle Projects, Inc., S. A. (2010). Training strategies: EHR deployment
techniques. California Healthcare Foundation. Retrieved from
http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/T/PDF%20Training
StrategiesEHRDeployment.pdf
QI PLAN 2
8
RUNNING HEAD: QI PLAN PART 3
1
QI Plan Part III
Michael Benitez
HCS / 588
September 5, 2016
Martin Delgado
QI PLAN PART 3
2
QI Plan, Part III
In Part II, the organization evaluated the improvement methods and decided to move
forwar …
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