Exploring the Quality Improvement Process Worksheet

Exploring the Quality Improvement Process Worksheet As seen in the textbook reading and in the IHI modules, many avenues can be used to approach quality improvement in healthcare. In this assignment, we will use the Model for Improvement (IHI).  This is a process that you will perfect for your capstone course. Students are encouraged to be thinking about what you want to tackle for that quality improvement project and feel free to utilize that as the topic here.  Please complete your work using this worksheet. Save it as a Word document and submit the document as an attachment in Blackboard. View the rubric to ensure the ability to earn all points. Part I: Quality Improvement Indicators and Process     ·              List 3 of the most important or troublesome quality indicators for your workplace or clinical site.  At least one of these must be a nurse-sensitive indicator.  These will be measures of quality tracked with a data collection process. (Common example: Falls rate) (Students are encouraged to speak with superiors or quality management officer.) 1) 2) 3)   ·              Benchmarking: How is the data compared to other like organizations, locally and nationally, to see if you are meeting standards? Is there an agency to help you with this or specific data set used for this comparison? (Example: Leapfrog Group) List the agencies and explain the process.  Who is involved? Be specific and detailed in your response.           Part II: Walk Through a Change to Improve Quality Using the IHI Model for Improvement What quality measure needs to improve in your workplace or clinical site? Pick one that allows an evidence-based, nurse-driven change. Use this measure to work through the MFI (model for improvement) discussed in the IHI lessons.  ·              Set an aim, provide the full statement. Use the worksheet provided in the lesson if needed.     AIM Statement:   ·              Stakeholders: This would be anyone who could feel the impact of or contribute to this project, typically will cover a broad variety of people or groups of people (including financial stakeholders).  List the stakeholders and how this QI problem and/or change process impacts them. (Hint: Do not forget the client/patient) StakeholderImpact                          ·              Team: Who will need to be involved in this process for approval, data collection, implementation, etc.  (Hint: It needs to be multidisciplinary.)  Who will lead the team? How often will the team meet? This group will be unique to the setting and the change being implemented.       ·              Changes (evidence-based)- Search the literature using the UARK library Quick Search regarding how to improve the quality measure in question. Filter for the last 5 years and include the exact setting for specific interventions. (Example to type in the search: Improvement of Falls rate in skilled nursing facilities) What evidence turns up in this search?  What intervention(s) does the evidence support? (List several options) Please use two scholarly sources, citing and referencing properly in APA. The references used should be studies testing the intervention to improve the trouble area in your aim.   Intervention possibilities:           References (cite in the summary of changes above):1) 2) ·              What will be implemented? Name the evidence-based intervention for change from the above options. Please pick one specific change or new intervention to use for the rest of this worksheet. (HINT: A QI process should be completed using only one evidence-based intervention at a time to determine effectiveness.)    ·              Establish measures related to the intervention or change selected- Use all four measures here to become familiar, providing several measurable items in each category that might work. These measures are explained in detail in the lesson materials. The measures will be specific to the aim AND the intervention chosen. ·              Structure (What will need to change within the structure to implement your change intervention? Structure measures are typically environment, policy, or staffing.):  ·              Process (Relates to how things are done, the system needed for implementation. What will need measured to ensure that the change is being implemented correctly?):  ·              Outcome (What do you want to see in the end? This measure ties directly back to the aim.):  ·              Balancing measures (other things that could be impacted by this implementation.):    ·              Test changes – How will all data mentioned above be collected and tracked to determine if improvement takes place? Who will do it and how often?     ·              Plan for how the team will evaluate the data. How would the team develop revision if not successful? What does full implementation of this new change look like in the organization if you have been successful? How will it be sustained? Explain the evaluation plan in detail.