Section 3: Quality Measurement and Assessment
Measuring and assessing quality provides a foundation for identifying needs for improvement developing effective interventions and then monitoring progress toward desired results.
In the Sadeghi Barzi Mikhail and Shabot text the authors assert that an effort to improve quality calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance (p. 182).
Having this end in mind can provide justification for dedicating valuable resources toward the effort and help to lay a clear concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.
In this section of the Course Project you focus on what you would measureand how you would measure itrelative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.
Through your work in previous weeks of this course you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.
As you deepen your analysis of your selected organization consider how the information presented in this weeks Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.
To prepare:
Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this weeks Learning Resources).
Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations including the IOMs six aims for quality improvement.
Based on this review and your knowledge of the organization that you have selected determine appropriate measures and indicators of performance related to your identified quality improvement issue.
Consider how you could gather and use historical evidence of the organizations performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data including those currently in use by the organization (e.g. chart audit data staff surveys quality indicators that are monitored observations). If possible examine actual data to assess your selected organizations performance related to the issue.
Think about what specifically you would like to achieve related to this issue. Establish realistic evidence-based quality performance targets.
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