Outcome Measurements and Tools

 Read the following attachments:

The Relationship Between Evidence-Based Practices and Emergency Department Managers Perceptions on Quality of Care for Self-Harm Patients  

Practicing Healthcare Professionals Evidence-Based Practice Competencies: An Overview of Systematic Reviews

Watch the following video: 

Allied Health: Evidence-Based Practice (https://www.youtube.com/watch?v=j5sU5H-IBSg)

Measurements are part of process changes and quality improvements. However, measurements alone do not create improvements. A quality improvement system should include a data collection mechanism, valid and reliable measures of outcomes, and a collection of tools or methodologies with ongoing efforts. It is also vital that the measurement strategies will accurately capture whether the evidence-based care has been delivered to the patients.

In 300 to 400 words:

  • Describe the role of continuous quality improvement in health care outcomes.
  • Assess the importance of evidence-based practice in improving quality of care. Be sure to provide an example of evidence-based practice. 
  • Discuss challenges in collecting and analyzing quantitative data in measuring quality outcomes.
  • Discuss how the Quality Improvement Measure Patients who “Strongly Agree” they understood their care when they left the hospital under the Survey of Patients’ Experiences category relates.

Support your response with at least two scholarly sources published within the last 5 years in APA Style.

Continuous Quality Improvement Initiative

 Read the following attachments:

*An Evaluation of Medicares Hospital Compare as a Decision-Making Tool for Patients and Hospitals.

*U.S. Hospital Performance Methodologies: A Scoping Review to Identify Opportunities for Crossing the Quality Chasm Download U.S. Hospital Performance Methodologies: A Scoping Review to Identify Opportunities for Crossing the Quality Chasm

*Impact of Teaching Intensity and Sociodemographic Characteristics on CMS Hospital Compare Quality Rating

Your role in this scenario is that you work in the department of quality improvement (QI) at the University of Iowa Hospital & Clinics. Your CEO calls upon you in the QI department to resolve the low performing quality and patient safety issues. The Quality Improvement Measure focus is on Patients who “Strongly Agree” they understood their care when they left the hospital under the Survey of Patients’ Experiences category.

-For this first part of the quality improvement (QI) initiative, you will explore the University of Iowa Hospital & Clinics (). Explore the categories listed on the hospitals webpage to get an understanding of how it scores. Be sure to scroll down and expand each category to see the measures nested within the category. For example, for one particular hospital, under the category Timely and Effective Care for Sepsis Care, the hospital scored 53% for this measure. This is the percentage of patients who received appropriate care for severe sepsis and septic shock. The national average was 60%, and the state average was 55%. This is a low performing quality and patient safety issue that could be explored. Here is another example: Under the category Timely and Effective Care for Emergency Department Care, this hospital had 146 minutes for the measure, average (median) time patients spent in the emergency department before leaving from the visit. The national average had 172 minutes, and the state average had 158 minutes. But another hospital in the same area had 125 minutes.

In three- to five-pages address the following:

  • Describe      the nature of the business,      services or products, and customers      served by the University of Iowa Hospital & Clinics.
  • Evaluate      the Quality Improvement Measure Patients who “Strongly Agree”      they understood their care when they left the hospital under the Survey      of Patients’ Experiences category.
  • Discuss the      importance of patients being able to understand their care when they leave      the hospital (e.g., accreditation status, patient      safety, and/or financial status of the hospital).
  • Define      two to three SMART goals for the measure, Patients who      “Strongly Agree” they understood their care when they left the      hospital, to improve. 
    • Be       sure to include all five elementsspecific, measurable, attainable,       relevant, and time-boundin each goal. 
    • For       example: To implement an up-and-running emergency department tracking       system by 12/31/2022. To hire and train additional five nurses to meet       the staff-to-patient ratio during peak times by 12/31/2022.  To       reduce the turnaround time at 10% for lactic acid/lactate levels       laboratory testing by 12/31/2022.
  • Analyze      specific local, state, or national policies (e.g., The Joint Commission      Standards) that have been developed to improve patients being able to      understand their care when they leave the hospital based on evidence-based      practice research.
  • Must      use at least three scholarly or peer-reviewed sources published in the      past 5 years and format in APA style.

-See the attached Quality Improvement Initiative template for guidance on completing this.

Alzheimers/Caregiver

 Prompt: For Milestone Two, you will submit a draft of your proposed needs assessment. You should include a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your program, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population(s), such as employees or patients, be sure to identify that populations specific needs. Using what you learned about management theories in Module Two, discuss specific management theories that guided your identification of the issue. Specifically, the following critical elements must be addressed: II. Proposal Needs Assessment Develop a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your proposal, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population(s), such as employees or patients, be sure to identify that populations specific needs. Refer to the Module Two resources to discuss specific management theories that will be useful for solving the issue. Rubric Guidelines for Submission: The draft of your Needs Assessment must be submitted as a 2- to 3-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins, and any references cited in APA format. Use appropriate headings to identify each critical element. 

 The final project for this course is the creation of a comprehensive program proposal. Over the course of the term, you will immerse yourself in integrating what you have learned in your coursework and practice to create an authentic demonstration of your abilities as a healthcare administrator by developing a program proposal to address an identified healthcare issue. This artifact will serve as evidence of your professional identity and represent the knowledge, skills, abilities, and dispositions you can bring to a potential employer. Evaluation of Capstone This capstone will be assessed somewhat differently than other courses you have taken online at SNHU. Your final artifact will be evaluated in determining whether you have demonstrated proficiency in the outcomes listed below. Your instructor will guide you through this process, keeping a running narrative of your strengths and weaknesses in relation to the outcomes as you progress through the class. The project is divided into six milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submission. These milestones will be submitted in Modules Two, Three, Four, Five, Six, and Seven. The final comprehensive program proposal will be submitted in Module Nine. Your final submission will be a culmination of the work you complete for each milestone assignment. In this assignment, you will demonstrate your mastery of the following course outcomes: Demonstrate interpersonal skills, effective collaborative practices, and cultural competence through meaningful verbal and written communication in individual and group interactions Assimilate management principles and functions to foster organizational development, promote effective use of human resources, enhance operations, and position the organization through application of market analysis Integrate knowledge of microeconomic, macroeconomic, and financial principles to monitor, analyze, and interpret healthcare financial and economic data for decision making and strategic planning Appraise the effectiveness, utilization, and integration of information-management systems within the organizations microsystems and mesosystems Translate the knowledge of the U.S. healthcare delivery system, healthcare reimbursement, health policy, governance, and ethical considerations to promote population health and strategic planning at the organizational level Propose strategies that foster a dynamic organizational culture that clearly defines its strategic vision, identifies opportunities, and methodically engages in data analysis using epidemiologic and statistical principals to support strategic planning, operations management, and continuous quality improvement 2 Prompt You will develop a comprehensive, professional proposal that addresses an identified healthcare issue by interpreting the existing literature regarding the issue and developing a proposal that uses evidence-based resources throughout. Program Proposal For your capstone proposal, you should first conduct a preliminary search of literature to help you define a healthcare problem that health-service organizations face. Limit yourself to evidence-based sources only. Select a specific issue or problem confronting a health-service organization that you can effectively address through your capstone program proposal. Examples might include financial challenges, implementation/operationalization of new legislation (such as the No Surprises Act), patient safety and quality, improving internal cybersecurity, or improving the organizational culture. You will identify a target audience or governing body, such as the CEO or board of directors, who would review and approve implementation of your proposal. You will also identify who will be affected by implementation. You must include, but are not limited to including, the following sections in your program proposal. If certain elements of your program are important but not covered below, you should also include them in your proposal. Specifically, the following critical elements must be addressed: I. Introduction This should include a brief statement of the issue/problem, purpose of program, and its impact. Identify the issue to be addressed and include an accurate and detailed overview of the issue, including a discussion of the effect of your identified issue on your health-service organization and any affected population. You may consider negative patient outcomes, financial implications, cultural implications, etc. In general, include all information necessary to establish a comprehensive analysis and foundation for understanding your chosen issue and proposed program. This section should also describe the target audience to whom you would present your proposal for implementation (such as healthcare executives, administrators, and board of directors) in relation to this proposal and explain why your proposal would be relevant for this audience. For example, how might your proposal help hospital administrators make effective and ethical decisions surrounding patient safety and quality, culture, finance, etc.? II. Proposal Needs Assessment Develop a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your proposal, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population(s), such as employees or patients, be sure to identify that populations specific needs. Refer to the Module Two resources to discuss specific management theories that will be useful for solving the issue. 3 III. Resource Allocation Provide an in-depth description of the resources required to implement your program, such as qualified staff, information-management systems, other technology and equipment, and financial resources, among others. Also describe your plan for accessing and assigning available resources in the most economical way to achieve your programs future goals. In other words, how will you schedule activities and acquire the resources required for those activities while considering both resource availability and the project timeline? IV. Planning Provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issuerelated outcomes and your plan to address them; and a timeline for meeting program objectives. V. Implementation Provide a detailed description of the activities leading to achieving the objectives identified, including your rationale behind their selection, their sequence, and your reasoning behind why these methods may work. VI. Evaluation Methodologies Provide a comprehensive description of how your organization (and potential funders) will know the program is successful. Items to consider include methods for measuring success, who will be performing the evaluation, which two methods will be used (you must include one type of financial evaluation). You should also include your plan for gathering data, including the identification of the sources from where the data will be acquired (CMS, quality data, leapfrog, turnover rates, etc.), analyzing data, using evaluation for program improvements, and producing any specific evaluation reports. Your program proposal should be submitted in a professional format. The final product is suggested to be in the range of 15 to 20 pages; however, design and proper professional presentation are more important than page count because in the real world, there are usually not any page-length requirements. Therefore, the 15- to 20-page range is a suggestion, and you should use your best professional judgment regarding the length of your proposal. Milestones Milestone One: Introduction In Module Two, you will submit a draft of your introduction (Section I). Milestone One will encompass the introduction. You should first conduct a preliminary search of literature to help you define a healthcare problem health-service organizations face. Select a specific issue or problem confronting a health-service organization that you can effectively address through your capstone program proposal. Examples might include financial challenges, implementation/operationalization of new legislation (such as the No Surprises Act), patient safety and quality, improving internal cybersecurity, or improving the organizational culture. You will identify a target audience or a governing body, such as the CEO or board of directors who would review and approve 4 implementation of your proposal, and you will also identify who will be affected by implementation. This milestone will be graded with the Milestone One Rubric. Milestone Two: Needs Assessment In Module Three, you will submit a draft of your proposal needs assessment (Section II). You should include a statement of need that allows the reader to learn more about your selected issue, presents evidence that supports the need for your program, and demonstrates that your organization understands the need and can address the issue. If the issue involves a specific affected population, be sure to identify that populations specific needs. Using what you learned about management theories in Module Two, discuss specific management theories that guided your identification of the issue. This milestone will be graded with the Milestone Two Rubric. Milestone Three: Resource Allocation In Module Four, you will submit a draft of your resource allocation (Section III). Provide an in-depth description of the resources required to implement your program, such as qualified staff, information-management systems, other technology and equipment, and financial resources. Also explain your plan for accessing and assigning available resources in the most economical way to achieve your programs future goals. This milestone will be graded with the Milestone Three Rubric. Milestone Four: Planning In Module Five, you will submit a draft of your planning (Section IV). Provide a comprehensive program plan that includes its objectives (i.e., measurable improvements in behavior, performance, process, or a tangible item that will result from your program); ethical and legal considerations, including a review of the four ethical principles, ensuring appropriate legal and social responsibility of your proposal; financial considerations and their anticipated effect on internal policy and operations; anticipated issue-related outcomes and your plan to address them; and a timeline for meeting program objectives. This milestone will be graded with the Milestone Four Rubric. Milestone Five: Implementation In Module Six, you will submit a draft of your implementation (Section V). Give a detailed description of the activities leading to achieving the objectives, including your rationale behind their selection, their sequence, and your reasoning behind why these methods may work. This milestone will be graded with the Milestone Five Rubric. Milestone Six: Evaluation Methodologies In Module Seven, you will submit a draft of your evaluation methodologies (Section VI). Provide a comprehensive description of how your organization (and potential funders) will know the program is successful. Items to consider include methods for measuring success, who will perform the evaluation, and how the methods will be selected. You should also include your plan for gathering data, using test instruments, analyzing data, using evaluation for program improvements, and any specific evaluation reports that should be produced. This milestone will be graded with the Milestone Six Rubric. 5 Capstone Final Submission: Comprehensive Program Proposal In Module Nine, you will submit your comprehensive program proposal. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded using the Final Project Rubric. 

Airport Research Project

  

For this week’s paper, you are going to describe your project airport’s security program and define its AOA, secure and sterile areas, and SIDA. The airport you will be researching is the BaltimoreWashington International Thurgood Marshall Airport. You may take one of the various approaches: Either contact your airport seeking the information you need or search for the information you need from credible sources. Your paper should clearly reflect your knowledge of the airport’s security program and defined its security areas. 

The report should be a minimum of two pages in length (not including the reference page and graphics). Feel free to write more than two pages.

If it helps, break out the topic into mini headings. Keep in mind that all papers must adhere to the current APA style format, including the use of references and citations.

Attached is the previous paper pertaining to this airport.

Forecasting in Airline Strategic Planning and Management

Utilize the first part of the research papers which are located within the attachment section as background information about your created Airline. Assess the fundamental airline forecasting elements and the forecasting plan related to your mock airlines strategic planning and management with a focus on analysis, planning, and control. Identify data on route structure revenue, seasonal operations revenue, fleet structure costs, staffing model costs, etc. 

Construct a forecasting matrix of a minimum of four and a maximum of seven (4-7) core functions that will impact your mock airlines revenue structure. Examine how each of your core components that you review correlate to each other to benefit revenue overall. Include recommendations on if one element is not performing to desired forecasting, the controls that you would have in place to alert and correct such issues.

Finally, include a summary of information on the mock airlines forecasting elements in airline strategic planning and management to recap the key points for the reader.

Paper Requirements

The paper must be 2-3 pages in length not including the title page and reference page.

Must be written in the current APA Format with at least one peer-reviewed article and two other credible references.

All references, including your peer-reviewed article, should be cited in the text of the assignment and on the reference page.