NUR 400 Milestone One Guidelines and Rubric:

The milestone assignments in this course are to help you prepare for the final project PowerPoint (PPT) presentation. Milestone One sets the stage for the proposal of your initiative. You will identify a patient care issue that provides an opportunity for a quality improvement initiative. You will then use evidence-based resources to support the proposed initiative and its development. Your instructor will provide feedback for each milestone. You should incorporate this feedback into the final project PPT presentation.

Prompt:
For this milestone, use evidence-based resources to address the following topics:

I. Introduction and Proposed Initiative
a. Analyze a healthcare organization to determine the key characteristics (including organizational values, if applicable) impacting its quality of care, with a focus on the relationship between quality outcomes and healthcare reimbursement.
b. Articulate a quality outcome problem involving patient care and impacted by financial considerations that provides a quality improvement opportunity.
c. Articulate a proposed initiative, including recommendations of interprofessional strategies to improve the patient care problem.
d. Articulate a SMART goal that the leadership role can support in the planning, analysis, and implementation of the quality improvement initiative.
e. Assess a quality improvement model for its applicability and use to promote change with the quality improvement initiative.

PICK ANY ORIGINATION

What to Submit:
Your submission should be a Word document approximately 2–4 pages in length (not including title and reference pages) and should be formatted using proper APA publication format. This submission should include at least two evidence-based references published within the last five years.

SOME RESOURCES YOU CAN USE:

Shapiro Library Article: https://ezproxy.snhu.edu/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fscholarly-journals%2Fwhy-healthcare-leadership-should-embrace-quality%2Fdocview%2F2384685844%2Fse-2%3Faccountid%3D3783
This article provides insight into leadership responsibility in quality improvement.

Webpage: https://www.ahrq.gov/data/monahrq/myqi/nursing.html
This webpage from the Agency for Healthcare Research and Quality (AHRQ) provides examples of quality indicators that are sensitive to nursing care and quality improvement initiatives.

Webpage: https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
This AHRQ webpage provides information about the quality improvement process.
Read the following sections:

1. 4B1b and 4B1c
2. 4B1a
3. 4B
These sections provide information about selecting an intervention for change, explain how to establish goals, and provide an overview of the QI and the QI PDSA Method.

Webpage: https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
This AHRQ webpage provides an overview of quality improvement models and tools.

Website: https://www.hospitalsafetygrade.org/
This website provides reports about hospital safety ratings.

Webpage: https://www.health.state.mn.us/communities/practice/resources/phqitoolbox/objectives.html
This webpage from the Minnesota Department of Health provides a step-by-step guide to writing SMART goals or objectives.

Additional Support (Optional):
Website: https://www.medicare.gov/care-compare/
This CMS website provides consumers with performance data about hospitals so they can compare services.

Article: http://www.ihi.org/resources/Pages/Changes/DevelopaCultureofSafety.aspx
This article from the Institute for Healthcare Improvement (IHI) provides intervention suggestions to improve safety that can be applied to quality improvement initiatives.

Webpage: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS
This webpage provides information about the hospital consumer assessment of healthcare providers and systems (HCAHPS) survey as a resource to inform quality improvement initiatives.

Video: https://www.youtube.com/watch?v=yOLfe37gq4g
This video discusses the process of identifying failures in a current process and anticipating potential safety problems before they occur.

A captioned version of the video is available: https://www.youtube.com/watch?v=rv6s1BLyk64

A video transcript is available: Transcript for https://learn.snhu.edu/content/enforced/1422116-NUR-400-J2088-OL-TRAD-UG.23EW2/Course%20Documents/NUR%20400%20Failure%20Mode%20Effects%20Analysis%20Transcript.docx?_&d2lSessionVal=Oomebaz9Ch9pGtEBFvoihp6DT&ou=1143199&_&d2lSessionVal=MbQ8eFmE5FbetIfHa7d0wM8Wq&ou=1422116

Resource: https://libguides.snhu.edu/home
Find Journal articles that support your choice of nursing issue or problem.

USE THOSE IF YOU WANT

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