IHP 604 Project Guidelines and Rubric

Competencies

In this project, you will demonstrate your mastery of the following competencies:

Analyze healthcare quality metrics

Determine an opportunity for a healthcare improvement initiative

Recommend a healthcare quality improvement initiative and evaluation process

Overview

Throughout this course, you have learned how to analyze healthcare quality metrics, determine an opportunity for a healthcare improvement initiative, and recommend a healthcare quality

improvement implementation plan and evaluation process. In this project, you will demonstrate the knowledge and skills needed to improve healthcare delivery for an organization. Choose a

clinically or non-clinically based healthcare organization that releases public-facing data. You may decide to select a local organization or one where you work or have been a patient. For this

project, you will be creating a healthcare quality improvement initiative and evaluation report in which you will describe the issue at the outset, the setting, the problem to be solved, the

parties affected, and the reason why the issue is important to address. You will recommend a concise implementation plan and describe in detail how you plan to evaluate if your

implementation was successful.

Scenario

For the purposes of this project, imagine that you work on a team that monitors quality and risk management within the organization you selected. Whether you are coming from a nursing lens

or a healthcare administration lens, your task is to analyze the healthcare quality metrics for the organization you selected. Based upon your analysis of the data, you will determine an

opportunity for a healthcare improvement initiative for the organization. Then, you will provide a recommendation so that the organization can improve the quality and/or safety of its

healthcare delivery. Finally, describe how you will evaluate the effectiveness of your plan.

Directions

Your report should contain the following sections:

1. Metric analysis: Analyze the healthcare quality metrics of your chosen healthcare organization based on their public data.

A. Interpret the data and metrics related to the effectiveness of a healthcare organization.

B. Assess the validity and quality of the healthcare quality improvement data that support the need for the improvement opportunity you will include in your report.

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C. Derive insights and opportunities from the data.

2. Opportunity for improvement: Determine an opportunity for a healthcare quality improvement initiative for the healthcare organization you selected.

A. Explain how the metrics drive an opportunity for improvement.

B. Determine an evidence-based quality improvement tool for addressing an improvement opportunity.

C. Apply a problem-solving framework or tool to identify what could have been done differently based on the metrics and show and/or describe your application of the tool or

framework.

3. Recommendation: Provide a recommendation for the organization you selected so that the organization can improve the quality and/or safety of its healthcare delivery and determine

how to evaluate if your recommendations were successful.

A. Develop a healthcare quality improvement initiative using a framework, such as plan-do-study-act (PDSA), root cause analysis (RCA), and failure mode effect analysis (FMEA).

B. Determine an evaluation method for a healthcare quality improvement initiative for 1, 3, 6, and 12 months and describe that method in detail.

C. Determine data-collection tool(s).

Your project should provide evidence from at least �ve scholarly sources.

What to Submit

To complete this project, you must submit the following:

Healthcare Quality Improvement Initiative and Evaluation Report

Submit your healthcare quality improvement initiative and evaluation report as a Word document. Your submission should be approximately 4 to 6 pages with 12-point Times New Roman

font, double spacing, and one-inch margins. You must also include an APA-style title page. At least �ve sources within the past �ve years should be cited according to APA style.

Supporting Materials

The following resources support your work on the project:

Website: Find and Compare Nursing Homes, Hospitals, and Other Providers Near You

This website will help you �nd and compare homes, hospitals, and other providers near you.

Website: AHRQ

The Agency for Healthcare Research and Quality website will help you �nd metrics from healthcare providers. The data visualizations under the Data tab are also worth exploring. AHRQ also

has toolkits and best/leading practices that you may want to refer to.

Project Rubric

Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value

Metric Analysis:

Interpretation

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Interprets data and metrics

related to effectiveness of a

healthcare organization

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Metric Analysis: Validity and

Quality

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Assesses validity and quality of

healthcare quality

improvement data

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Metric Analysis: Insights and

Opportunities

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Derives insights and

opportunities from data

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Opportunity for

Improvement: Explanation

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Explains how metrics drive

improvement opportunity

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Opportunity for

Improvement: Tool Selection

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Determines quality

improvement tool for

addressing improvement

opportunity

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Opportunity for

Improvement: Problem-

Solving Framework

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Applies problem-solving

framework to identify what

could have been done

differently based on metrics,

and shows and/or describes its

application

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Recommendation: Initiative Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Develops concise healthcare

quality improvement initiative

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value

Recommendation:

Evaluation Method

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Determines evaluation method

for healthcare quality

improvement initiative and

describes method

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 10

Recommendation: Data

Collection

Exceeds pro�ciency in an

exceptionally clear and

insightful manner, using

industry-speci�c language

Determines data collection

tool(s)

Shows progress toward

pro�ciency, but with errors or

omissions

Does not attempt criterion 5

Articulation of Response Exceeds pro�ciency in an

exceptionally clear and

insightful manner

Clearly conveys meaning with

correct grammar, sentence

structure, and spelling,

demonstrating an

understanding of audience and

purpose

Shows progress toward

pro�ciency, but with errors in

grammar, sentence structure,

and spelling, negatively

impacting readability

Submission has critical errors in

grammar, sentence structure,

and spelling, preventing

understanding of ideas

5

Scholarly Sources Incorporates more than �ve

scholarly, current (within the

last �ve years) sources, or use

of sources is exceptionally

insightful

Incorporates �ve scholarly,

current (within the last �ve

years) sources that support

claims

Incorporates fewer than �ve

scholarly, current (within the

last �ve years) sources, or not

all sources support claims

Does not incorporate sources 5

Citations and Attributions Formats in-text citations and

reference list according to APA

style with no errors

Formats in-text citations and

reference list according to APA

style with fewer than �ve

errors

Formats in-text citations and

reference list according to APA

style with �ve or more errors

Does not format in-text

citations and reference list

according to APA style

5

Total: 100%