Sample Answer for MSN 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal
MSN 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal
Sample Answer for MSN 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal
Quality improvement is the process followed to analyze the performance of an organization as well as efforts to improve performance (Dixon-Woods & Martin, 2016). Quality improvement programs are important because they result in improved outcomes for patients, enhanced staff efficiency and reduced waste linked to process failure. Hospitals handle lives and thus specific standards have to be met since even government and insurance reimbursement for patient care follows the health outcomes instead of procedures undertaken. Any quality improvement program should ensure that improvements are seen in areas like safety, effectiveness, access and patient-centeredness approach. The purpose of this paper is to analyze data from Washington Hospital to establish a health care issue or area of concern, come up with a quality initiative proposal following the established health issues and supporting data analysis, integrate inter-professional perspectives to optimize safety, cost-effectiveness and work-life quality and apply effective communication strategies to enhance inter-professional care.
Health Care Issue
Hospital Overview
Washington Hospital always strives to meet the Institute for Healthcare Improvement recommendations, which are improved patient experience, improved population health and reduced cost of health care. WH is a 341-bed, acute care hospital that offers full range of care services and advanced medical technology and it was among America’s 100 best hospitals. The ratings are obtained from data collated from various departments and some of the quality indicators used are 30-day readmission rates, pain control, fall rate, and discharge information. 30-day readmission rate is selected because it ensures that the hospital has an incentive to enhance care coordination and communication and caregivers and patients are involved in post-discharge planning. The rates are also used by CMS to penalize hospitals whose rates are beyond the national standard. Actually any hospital with a high readmissions rate gets a 3% deduction in their Medicare payment (Wasfy et al., 2017). The discharge planning helps in reducing readmissions rates and at the same time helps in enhancing patient satisfaction with nursing care. Discharge planning offers tech back and post-discharge care information to the patients which enhances trust and self-management. The fall rates are calculated to reduce serious complication likes intracranial bleeds and fractures and ensure that patient safety within the hospital is optimized.
Data Preview
The unit managers at Washington Hospital closely follow patient outcomes and quality indicators. The unit managers ensure that all the practitioners are updated on the progress during the monthly staff unit. The last report that was generated indicated a remarkable improvement in all the four indicators; 30-day readmission rates, pain control, falls and discharge information as outlined in table 1 below.
Table 1.
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Washington Hospital Performance Report 2018-2019
Year 30-day readmission rate (target) Discharge information (target) Pain control (target) Falls (target) |
2018 11.2 % (11.6%) 80.5% (90.6%) 60.1% (70.7%) 50 (0) |
2019 9.4% &
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