Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Instructions for

                  Quality Improvement Plan: Justifying Cost

Now that you've outlined an action plan around the area that needs improvement in your organization, you will need to determine the feasibility of the plan, which includes justifying the resources based on the cost-benefit analysis.

Write a 700-word Cost-Benefit Analysis using the improvement plan you decided to adopt from the Week 2 Quality Improvement: Action Plan assignment. Include the following areas (4 main bullets and sub-bullets) answering thoroughly in your analysis:

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  • Determine the cost of the improvement plan.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
    • What areas will require capital cost and how much?
    • What areas will require labor cost and how much?
    • What areas will require on-going cost and how much?
    • What are the non-monetary costs, such as reputation and health?
  • Determine the benefits of the improvement plan.
    • What is the dollar value on time saved?
    • What is the value saved?
    • What is the input saved?
  • Address in your summary if doing nothing is an alternative as well.
  • Make a recommendation and a plan of action based on the results.

*Per instructor: Remember that in order to justify cost you must detail actual dollar amounts. How much does the project cost (estimate)? What is the benefit in dollars? Dopes the cost outweigh the benefit?Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Content: Points possible Points earned
Develops a Cost-Benefit Analysis using the action plan results from Week 2 Quality Improvement: Action Plan assignment. 1  
Develops a detailed Cost-Benefit Analysis that includes the key cost of the improvement plan.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment 3  
Develops a detailed Cost-Benefit Analysis that includes the key benefits of the improvement plan. 3  
Addresses the alternative of doing nothing. 2  
Provides recommendation and a plan of action. 2  
Meets 700 minimum word count. 1  
Cites and references all sources, APA formatted 1  
Total 13  

 

Quality Improvement Project Action Plan I: Improving night noise management levels

Name of Agency/Hospital/Program: Glendale Memorial Hospital & Health Center                       Date of Completed: 8/27/2018

Goal: To increase HCAHPS Scores on quietness by the first quarter of next year.                             Date Begun: October 1, 2018Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Objectives: To eliminate the irritating night noise at GMHHC over the next six months through designating daily quiet time from 10 pm to 7 am, repairing and replacing noisy equipment, revising the facility plan, and soliciting support from other facilities in close proximity.

Intervention Intended outcome Individual(s) responsible Resources required Start date End date Measurement of success
Designate daily quiet time; 10 pm to 7 am. Suppress the noise levels at night around  patients’ rooms and units.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment All staff in the hospital. Quiet kit (ear plugs, eye mask, reading materials).

 

 

 

October 2018    March

2019

Noise suppression during designated quiet time. Success would be determined based on how patients evaluate the night noise levels; increased HCAHPS scores on quietness.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
Repair and replace noisy equipment with quieter equipment Reduce excess background noise in the unit. Hospital administrator, procurement manager, and maintenance and purchasing department.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment New quieter equipment and replacing parts (Identify the noise equipment and either replace or repair them to reduce noise pollution) October 2018 March

2019

Having quiet equipment that do not produce irritating noise at night in the facility. Success would be determined based on how patients evaluate the night noise levels; increased HCAHPS scores on quietness.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
Revise the facility plan and restructure buildings. Reduce the hospital’s noise by locating noisy equipment and rooms away from the inpatient units.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment Hospital administrator, procurement manager, architect, and building planning manager. The current facility plan to include where each room is located and their respective noise levels.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment October 2018 March

2019

A new facility plan that positions noise rooms are key away from rooms intended to be quiet. Success would be determined based on how patients evaluate the night noise levels; increased HCAHPS scores on quietness.
Solicit support from other facilities in close proximity to ensure that they suppress noise and do not interfere with the facility activities Having the neighboring facilities reduce their noise pollution Hospital administrator, legal representative, representatives from the Environmental Protection Agency (EPA).Quality Improvement Plan: Justifying Cost Nursing Essay Assignment Identify the neighboring facilities that cause noise pollution at night and having the facility representatives discuss with them on how best to reduce their noise pollution so that they do not interfere with the facility operations.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment October 2018 March

2019

Absence of noise pollution from neighboring facilities. Success would be determined based on how patients evaluate the night noise levels; increased HCAHPS scores on quietness.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Quality Improvement Project Action Plan II: Improving discharge education and instructions

Name of Agency/Hospital/Program: Glendale Memorial Hospital & Health Center                       Date of Completed: 8/27/2018

                                                                                                                                                               Date Begun: Oct 1, 2018

Goal: To increase HCAHPS Scores on discharge education and instructions by the first quarter of next year.

Objectives: To improve discharge education and instructions so that patients are better prepared to understand their medical care needs at home by revising the discharge education and instruction approaches, educating medical personnel on how best to apply discharge education and instruction for the best outcomes, developing pictograph for discharge instructions, and creating a telephone-based and internet-based information support system that complements discharge education by the first quarter of 2019.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Intervention Intended outcome Individual(s) responsible Resources required Start date End date Measurement of success
Revise the discharge education and instruction approaches to ensure that they are more comprehensive. Present a more comprehensive discharge education plan that addresses the patients’ home care needs.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment Hospital administrator, and discharge supervisors and personnel. The current discharge education plan.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment October 2018 March

2019

A comprehensive discharge education plan that addresses the patients’ home care needs. Success would be measured through evaluating the percentage of patients requiring hospitalization within 6 months of discharge owing to care mistakes made at home; increase HCAHPS score on discharge education and instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
Educate medical personnel on how best to apply discharge education and instruction for the best outcomes. Better informed personnel who are able to anticipate and meet the patients’ discharge education needs. Hospital administrator, discharge planners, and human resource manager.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment An education plan that allows discharge planners to be better prepared to meet the patients’ needs in terms of what they should know even as they continue with care needs at home. October 2018 March

2019

Better informed discharge personnel who can anticipate and meet the patients’ education needs. Success would be measured through evaluating the percentage of patients requiring hospitalization within 6 months of discharge owing to care mistakes made at home; increase HCAHPS score on discharge education and instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
Develop

visual aid (pictograph) for discharge instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Improving patient comprehension and recall of discharge instructions. Hospital administrator, information technology (IT) department, graphic designer, and nurses. Various pictures and infographic.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment October 2018 March

2019

Patients have better understanding of discharge instructions. Success would be measured through evaluating the percentage of patients requiring hospitalization within 6 months of discharge owing to care mistakes made at home; increase HCAHPS score on discharge education and instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment
Create a telephone-based and internet-based information support system that complements discharge education by addressing the patients’ concerns while at home Creating an information resource center available from home to allow the patients consult in case of any concerns while at home.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment Hospital administrator, discharge personnel, and information technology (IT) department. Creating a comprehensive information resources center that includes an anticipatory database detailing what the patients could need while at home along with access to medical personnel who would address the patients’ concerns and questions. Quality Improvement Plan: Justifying Cost Nursing Essay Assignment October 2018 March

2019

An information resource center that patients can access using telephone and internet devices while at home. Success would be measured through evaluating the percentage of patients requiring hospitalization within 6 months of discharge owing to care mistakes made at home; increase HCAHPS score on discharge education and instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Quality improvement: Action plan

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The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores show quality of hospital care through evaluating patients’ experiences during their most recent stay in a health facility then compare the performance to state and federal scores.  The present review of the HCAPHS score for Glendale Memorial Hospital and Health Center (GMHHC) reveals that the facility has performed poorly in two areas. The first area is quietness at night around the patients’ rooms where the patients noted high noise levels that interfered with their night rest and healing progression. Quality Improvement Plan: Justifying Cost Nursing Essay Assignment. The second area is discharge education and instructions whereby the patients reported that they did not understand the home care needs and requirements even as they left the facility. In this case, quality is defined as the capacity of the facility to offer medical services that increase the probability of achieving the desired care outcomes and are congruent with the current professional standards and knowledge. To improve the organizational quality, there is a need to increase HCAHPS scores on two identified areas by applying the quality improvement project action plan.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Compare/contrast quality measures

There are two quality measures that can be applied to the present situation. The first quality measure is standardization that entails systematization and alignment. Systematization ensures that all input achieve an anticipated outcome within the boundaries of certainty with little to no randomness. Alignment ensures that practice is matched with evidence (Meyer, 2016)Quality Improvement Plan: Justifying Cost Nursing Essay Assignment. The second quality measure is PDSA (plan-do-study-act) that entails the use of a series of steps to identify the system, process and patient aspects linked with the problem. Through repeating the PDSA cycle, it is possible to achieve the desired outcome with the focus on process and structure. For the present case, PDSA is more appropriate since the two quality problems are concerned with process and structure. The process aspect includes human capital in terms of training and education, as well as knowledge capital in terms of standard operating procedures. The structure aspect includes the facility culture, leadership and physical assets (Cotton, 2016). In this respect, PDSA is the more appropriate quality measure since it facilitates good decision-making that improves the possibility of good results and reduces the likelihood of unforeseen adverse results.

Changes to lead quality improvement

The quality improvement action plan identified two areas of focus. The first focus area seeks to eliminate the irritating night noise over the next six months to ensure that there is quietness at night to facilitate night rest and facilitate the healing process. The specific actions to be undertaken include designating daily “Quiet Time,” repairing and replacing noisy equipment with quieter equipment, revising the facility plan to ensure that wards and patient rooms are located away from noisy areas, and soliciting support from other facilities in close proximity to ensure that they suppress noise and do not interfere with the facility activities.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

The second focus area is seeking to improve discharge education and instructions so that patients are better prepared to understand their medical care needs even when at home. The specific actions include revising the discharge education and instruction approaches to ensure that they are more comprehensive, educating medical personnel on how best to apply discharge education and instruction for the desired care outcomes, developing pictograph for discharge instruction, and creating a telephone-based and internet-based information support system that complements discharge education by addressing the patients’ concerns while at home.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Mission and vision alignment. GMHHC is a medical facility concerned with providing health care services. The facility’s mission is to extend the Christian notion of care to the previously ignored and suppressed communities with the intention of improving quality of life. The facility’s vision is to create a forum for healthcare stakeholders to integrate their efforts to achieve the national medical care goals (Dignity Health Glendale Memorial Hospital, 2017). The facility’s mission and vision align with the PDSA since they are concerned with ensuring that the best possible care is delivered to patients to guarantee good outcomes. To be more precise, the PDSA approach includes thoughtful strategies by adopting a multimodal approach whereby different possible causes of the problem are identified and optimized to achieve the desired outcome. In fact, the approach ensures that all concerned stakeholders are able to make meaningful contributions towards solving the existing problems.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Internal and external influences. The first problem is noise that interferes with the patients’ night rest. The internal influences for this problem are the nature of healthcare setting, noisy equipment, and an unfavorable facility plan, and badly designed rooms and ward. The external influences are the facilities in close proximity to the hospital. These influences were identified based on the fact that they either cause night noise or are not able to suppress night noise as would occur in an ideal situation.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

The second problem is the patients being discharged with limited home care information that causes them to make mistakes that have a negative effect on their care outcomes. The internal influences for this problem are inadequate discharged education and instruction approaches, medical personnel with limited knowledge, and absence of an information support system that address the patients’ concerns. The external influences are the patients, family members and home-care givers who have limited knowledge about care requirements.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Aspects of change on improvement. Changes to the internal and external influences is anticipated to address the two problems and achieve the desired outcome. Changes to the influences would address the first problem by eliminating the irritating night noise. A revised facility plan would keep patients away from noisy environments. Installing noise suppression and dampening material would exclude outside noise. Quiet equipment would reduce noise levels. Getting the neighboring facilities to reduce noise pollution would ensure that the environment is quieter at night.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Changes to the influences would address the second problem by improving discharge education and instructions so that patients are better prepared to understand their medical care needs even when at home. A comprehensive discharge education plan would better prepare patients to address their home care needs. Better informed discharge personnel would be able to meet the patients’ education needs. Better informed home care providers would reduce the pressure that patients feel while at home by aiding them in making good care decisions. An information resource center would allow patients to access required care information. In this respect, the planned changes are anticipated to produce improvements that achieve the desired outcomes.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Improvement validation. The first improvement entails better management of night noise levels. Based on PDSA plan, the Plan step begins with assessing background noise level at night, identifying the cause of the excessive noise, and planning to reduce noise. The Do step involves the implementation of noise level reduction strategies specified at specific action plan; designating daily “Quiet Time,” repairing and replacing noisy equipment, restructuring the hospital, and soliciting support from neighbor facilities. The Study step is intended for monitoring changes; whether quietness at night has improved or not. This step requires collecting in-hospital survey and analyzing data to acquire patient-rated scores for quietness. The Act step involves standardization or improvement of the processes. The measurement of success for increasing quietness at night will be restricted or eliminated excessive background hospital noise at night which will be presented in increased HCAHPS score on the topic of having quiet nights around patients’ rooms.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

The second improvement entails applying more comprehensive discharge education and instructions. The Plan step involves assessing discharge instruction and education protocols, procedures, materials, and planning to increase patients’ comprehension of discharge instructions. Revising the discharge education and instruction approaches, educating medical personnel on how best to apply discharge education and instruction for the best outcomes, developing pictograph for discharge instruction, and creating a telephone-based and internet-based information support system that complements discharge education are included in Do Step. In Study step, data is gathered, and collected data is analyzed to determine the progress. Depends on analyzed data from the Study step, Act step standardize discharge policies and procedures or repeat PDSA Cycle. The measurement of success for improving discharge education and instruction focus on patients’ comprehension of discharge instructions that would be displayed through enhanced HCAHPS scores for the category of discharge education and instruction.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment

Based on the PDSA Cycle to test the improvement strategy for each preventable error, addressing both areas is equally appropriate for GMHHC to adopt because performance-based compensation for each unit, the establishment of policies and procedures can standardize applied changes while an improvement on implemented strategies or processes will be made in case of applied changed did not make any difference in enhancing quietness at the hospital or increasing patients’ comprehensiveness on discharge instructions.Quality Improvement Plan: Justifying Cost Nursing Essay Assignment