Discuss how the change project could have been improved to increase quality care outcomes.
Topic: Change proposal
Order Description
As an Advanced nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live-practice experiences and situations. You are to identify a recently completed organizational change or innovation or one currently in process and use your leadership problem-solving skills to investigate, document, and evaluate the implementation process. For this paper, think about how you, as a nurse leader, function as a detective, scientist, and manager of a healing environment.
In this hypothetical or actual assessment scenario, you will work with a Change leader in a healthcare organization in order to select an organizational change (Pain Management) that has occurred within the last six months. If you choose a change currently in progress, it must be far enough into the implementation process in order for you to gather sufficient data for the assessment. The organizational change should have been implemented in order to initiate or support a patient advocacy project, system change, or educational program to increase quality care outcomes. The Change leader you choose to work with for the identified change (Pain Management) needs to have been directly involved with the change process in the organization.
After identifying change proposal (Pain Management) complete the attached “Change Investigation Proposal Form” you should identify how you will investigate the implemented organizational change in the form.
Investigate the selected organizational change (Pain Management) using the attached NCQA “QIA Form. You may utilize the attached “QIA Form Instructions” to help guide you in how to fill out the QIA Form. Your investigation will be used to document how the change was implemented in the organization.
Requirements:
A. Submit “Change Investigation Proposal Form” that includes the following information:
• A brief description of the organizational change you plan to investigate (Pain Management)
• A process for conducting the investigation (e.g., data collection, key stakeholders to talk to), including how you will obtain the information on the “QIA Form”
B. Summarize (suggested length ½ to 1 page) the identified organizational change and the patient population that it affects.
Note: Use the attached “QIA Form” and gather data from the organization that is necessary to populate sections I–V of the form. The form should serve as a guide to complete the assessment and conduct your investigation. Refer to the attached “QIA Instructions Form” for information on how to complete the QIA Form.
C. Submit a completed copy of the attached “QIA Form” in which you record data from your investigation in sections I–IV.
1. Summarize what data you collected for each section (I–IV) of the “QIA Form.”
a. Discuss what data collection measure(s) were used by the organization.
b. Analyze the appropriateness of the data collection measures, including whether the data supported the need for change.
2. Discuss how the data collection measure(s) could have been improved, using Advanced-level nursing and interprofessional standards.
D. Analyze the effectiveness of the change project in the organizational setting by doing the following:
1. Discuss how the change was evaluated for success after implementation.
a. Discuss the effects the implementation has had on the organization and quality care outcomes.
2. Evaluate whether stakeholders involved with implementation were successful in their roles.
3. Discuss how the change project could have been improved to increase quality care outcomes.
E. Summarize your involvement with the organization and/or stakeholders as you conducted your investigation.
The Following Criteria must be meet for this paper
A. n/a
B. Summary: Provide a logical summary, with sufficient detail, of the identified organizational change and the patient population that it affects.
C. QIA Form: Provide a completed copy of the attached “QIA Form” in which you record data from the investigation in sections I–IV.
C1. QIA Form Summary: Provide a logical summary, with sufficient detail, of what data you collected for each section (I–IV) of the “QIA Form.”
C1a. Collection Measures Used: Provide a logical discussion, with substantial detail, of what data collection measure(s) was used by the organization.
C1b. Appropriateness: Provide a plausible analysis, with substantial support, of the appropriateness of the data collection measure(s), including whether the data supported the need for change.
C2. Collection Measures Improvement: Provide a logical discussion, with substantial support, of how the data collection measure(s) could have been improved, using advance-level nursing and interprofessional standards
D1. Evaluation: Provide a logical discussion, with substantial detail, of how the change was evaluated for success after implementation.
D1a. Implementation Effects: Provide a logical discussion, with substantial detail, of the effects the implementation has had on the organization and quality care outcomes.
D2. Stakeholder Roles: Provide a logical evaluation, with substantial detail, of whether stakeholders involved with implementation were successful in their roles.
D3. Improvement: Provides a logical discussion, with substantial detail, of how the change project could have been improved to increase quality care outcomes.
E. Involvement Summary: Provide a logical summary, with sufficient detail, of your involvement with the organization and/or stakeholders as you conducted the investigation.
Helpful references: https://www.ihi.org/resources/pages/Howtoimprove/default.aspx
QUALITY IMPROVEMENT FORM
NCQA Quality Improvement Activity Form (an electronic version is available on NCQA’s Web site)
Activity Name:
Section I: Activity Selection and Methodology
A. Rationale. Use objective information (data) to explain your rationale for why this activity is important to members or practitioners and why there is an opportunity for improvement.
B. Quantifiable Measures. List and define all quantifiable measures used in this activity. Include a goal or benchmark for each measure. If a goal was established,
list it. If you list a benchmark, state the source. Add sections for additional quantifiable measures as needed.
Quantifiable Measure #1:
Numerator:
Denominator:
First measurement period dates:
Baseline Benchmark:
Source of benchmark:
Baseline goal:
Quantifiable Measure #2:
Numerator:
Denominator:
First measurement period dates:
Benchmark:
Source of benchmark:
Baseline goal:
Quantifiable Measure #3:
Numerator:
Denominator:
First measurement period dates:
Benchmark:
Source of benchmark:
Baseline goal:
C. Baseline Methodology.
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