Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Quality Improvement Proposal Essay.

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply \”The Road to Evidence-Based Practice\” process, illustrated in Chapter 4 of your textbook, to create your proposal. Quality Improvement Proposal Essay.

Include the following:

Provide an overview of the problem and the setting in which the problem or issue occurs.
Explain why a quality improvement initiative is needed in this area and the expected outcome.
Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Quality Improvement Proposal Essay.
Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. Quality Improvement Proposal Essay.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Quality Improvement Proposal Essay.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Problem in Practice

The healthcare systems are constantly working towards improving care reducing expenses as well as improve the patient experience. However, they are faced with several challenges such as the need to align the changes across many levels of a healthcare institution (Bierman et al., 2018). Nevertheless, it is possible to improve the process of identifying, prioritizing, and implementing these changes using the right people, tools, and processes. Upon alignment of those three components, the health systems can easily address clinical, operational, and financial quality improvement projects. Quality Improvement Proposal Essay.

An area of quality improvement is boosting readiness and change competencies key to successfully reduce clinical variation. Ideally, the system leaders are vocal about the need of reducing clinical variation and the importance of having strong analytics and physician champions to effectively reinforce efforts(Bierman et al., 2018). Further, they recognized that without identifying organizational weaknesses and strengths associated with adopting change as well as improving outcomes, it would be difficult to implement initiatives that will deliver the desired benefits as well as sustained improvements. Quality Improvement Proposal Essay.

It is necessary to minimize and reduce clinical variation in today’s healthcare market for both financial and clinical reasons(Bierman et al., 2018). One key driver for this is the transition from fee-for-service to value-based reimbursement as well as the need for enhancing clinical outcomes such as readmissions and complications. Quality Improvement Proposal Essay.

With the integration of information from an opportunity analysis, readiness assessment as well as expert resources, a healthcare organization will establish an implementation approach to improvement of outcomes that will produce tremendous results.

Significance of Quality Improvement in Practice

As earlier mentioned, minimizing clinical variation is important in today’s healthcare market. In the USA, it has been recognized that to succeed in reducing clinical variation is dependent on engaging physician champions (Black et al., 2019). One of the ways of empowering these champions is by arming them with data and analytics which will result in data-driven decisions. Quality Improvement Proposal Essay.

The healthcare industry is experiencing innumerable advances in a world where technological advancement is at the peak. However, the issue of addressing patient needs, efficiency of the system, and quality improvement, the healthcare system is not performing as expected(Black et al., 2019). The significance of quality improvement is to enhance efficiency, safety, and effectiveness. Therefore, redesigning the healthcare system should explore the use of specialized methods as well as tools recognized to assist improvement. Quality Improvement Proposal Essay.

Quality improvement in healthcare should essentially mean a systematic approach in practice that helps to monitor, assess, and improve the standards of quality healthcare. Since the organizational activates are cyclic, they require continuous improvement which in return results in higher performance(Black et al., 2019). Similarly, continuous up-gradation in healthcare systems and activities can move the healthcare institutions from inefficient traditional practices and concepts and make use of technology to perform optimally and thus generate better quality results. Quality Improvement Proposal Essay.

Quality improvement is closely and directly associated with service delivery approach, efficiency, level of patient satisfaction, and outcome. It is important to understand that the major concept behind quality improvement in healthcare is to focus on the patient and place their needs as well as expectations on the same page(Black et al., 2019). Some of the services that are meant to achieve this concept are patient engagement, patient safety, evidence-based care provision, health literacy of patients, [patient safety, systems that bolster patient access, and patient-centered communication. Quality Improvement Proposal Essay.


Support from Previous Research

One of a healthcare institution that has successfully established a prioritization and implementation approach to outcomes is known as UnityPointHealth.  The approach helped to achieve several results which include: Variable costs were minimized by more than $1.75 million depending on the deployment of interventions gotten in sepsis alerts, order sets as well as other clinical decision tools (Imran et al., 2016). The length of stay of patients also significantly reduced where patients were allowed to return home earlier than previously. Besides, many clicks got reduced for clinical depending on the deployment of new sepsis tools used for screening. Moreover, a thirty-six percent increase in sepsis screening was completed in the emergency department. Finally, sepsis order set utilization was used more in the emergency department. Quality Improvement Proposal Essay.

The success of the strategy was based on the fact that UnityPointHealth leveraged its strengths. Therefore, it went ahead to strengthen its culture, governance, and leadership to enhance the prioritizing projects, realizing that without having a tight rallying point, the motivation of employees would be diluted and resources wasted and the results would not be achieved(Imran et al., 2016). Essentially, the prioritization process was required to deliver a shortlist of improvement projects that would offer high value and could easily be achieved with the available resources.  Quality Improvement Proposal Essay.

Steps Necessary to Implement Quality Improvement

To fully unearth the root cause of problems and chart a way to do something better in healthcare, it imperative to follow the steps to implement quality improvement. Ideally, the steps enable the team to gather the data required to determine the solution as well as create an action plan(Imran et al., 2016). One of re steps is to ensure to list and prioritize improvement opportunities. Secondly, define all the improvement objectives for example in this case is to ensure clinical variations are reduced by boosting readiness as well as change competencies. To achieve this, it is important to know and understand the requirements such as meeting the current regulatory requirements and promote interdisciplinary communication. Quality Improvement Proposal Essay.

Data collection and organization will be an important step as it will inform the decision-making process. Selection of the root cause is a necessary step that will help to uncover the root cause of the problem(Imran et al., 2016). The assigned team will be tasked with the duty of generating potential solutions and will participate in the process of selecting the best solution. Further, the selected option will be implemented and evaluation measures will be put in place to check the effectiveness of the system put in place. Quality Improvement Proposal Essay.

Evaluation of Quality Improvement

The quality improvement initiative will use the Outcome Improvement Readiness Assessment tool to carry out the assessment and interviews required to get an informed as well as data-geared exercise of the organizational; competencies(Imran et al., 2016). Essentially, the assessment will be used to identify the strengths and weaknesses of the organization associated with executing outcomes enhancement. Quality Improvement Proposal Essay.

The competency levels of the organization will be divided into five sections such as adoption, leadership, culture and governance, best practice, analytics, and financial alignment(Imran et al., 2016).The assessment will be used to expose the areas where the organization is trailed as well as its strengths against the benchmarks. Quality Improvement Proposal Essay.

The evaluation needs to be holistic where it captures adaptive learning culture, as well as the ability to spread and keep adoption. Further, readiness assessment will be done to identify the potential improvement areas and establish which of the invested efforts would be most beneficial to the patients as well as the organization(Imran et al., 2016). Further, the organization will also be put to test as it will determine how to use data, recommendations as well as the insight obtained from the assessment tools to establish an effective approach to outcomes improvement that would help deliver and maintain the intended benefits to the patients as well as the organization. Quality Improvement Proposal Essay.

Variables, Hypothesis test, and Statistical Test

Once priorities have been set, and a plan developed to enhance competency levels or adoption, analytics, and best practice, the organization will commit to improving clinical practice for asthma and diabetes (Van Rossum et al., 2016). Therefore, an improvement team will be created for each clinical domain. The team will comprise of a clinical subject matter expert as well as a change management expert. Further, process engineers and analysts will be assigned to build the analytics application, conduct the analysis, and present the process measures ad results to the operational leaders. Quality Improvement Proposal Essay.

Planning will be important as the teams will need to thoroughly consider the various facets of the project. The assessment tool to be used will offer a framework for visibility at a departmental level into what strengths they can leverage on and seek ways to overcome potential weaknesses that could create obstacles(Van Rossum et al., 2016). To ensure all team members are reading on the same page and are speaking the same language, it is important to commit to using the framework and information of the readiness and competency assessment. Essentially, it will help them to see the need of having analytics, leadership, and best practice as a means to make progress in the project. If effectively and properly done, this approach will lead an organization to achieve improved outcomes in every prioritized clinical domain. Quality Improvement Proposal Essay.


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