Healthcare improvement project

COMPETENCIES
7073.2.1 : Implementation Projects

The graduate examines regulatory and compliance requirements for implementing an improvement project comprised of systematic activities and processes that are organized and implemented to improve organizational quality, safety, and performance.

7073.2.2 : Collaboration

The graduate collaborates with internal and external stakeholders to assess the need and readiness for a healthcare improvement project using improvement science methods and practices.

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7073.2.4 : Initiating the Project

The graduate synthesizes relevant research, feasibility results, patient preferences, and interdisciplinary stakeholder perspectives to initiate a healthcare improvement project.

INTRODUCTION

After your first course, the remaining specialty courses through your capstone will have a summative assessment that consists of an authentic performance assessment that scaffolds the tasks of the healthcare improvement project (HIP) through the project management lifecycle phases of project initiation, planning, implementation, and evaluation. Each performance assessment will focus on aspects of the proposal you will develop for a healthcare improvement project using a real-world approach to improving healthcare. Each phase will be described in different sections of a healthcare improvement project (HIP) paper.

 

This task is focused on the knowledge you gained and the deliverables you completed to initiate the proposed HIP using information from a former or current organization. You will describe the collaborative process used to complete the business case analysis by determining the need, feasibility, and organizational readiness for your HIP. As the nursing leader developing the business case analysis in this initiation phase, your end goal is to justify the project.

 

This task requires the submission of your entire HIP paper template, including the following section(s) of your HIP paper which you will be developing in this performance assessment:

• “Stakeholder Identification”

• “Needs Assessment”

• “Problem Identification”

• “Problem Description”

• “Impact Analysis and Template”

• “SWOT Analysis and Template”

 

While you must submit your entire paper, you will only be graded on the project initiation section and related appendices. The following sections of the HIP paper template should be completed and submitted as appendices to your HIP paper:

• Impact Analysis Template (Appendix A)

• SWOT Analysis Template (Appendix B)

 

During your clinical practice experience (CPE), you will have an opportunity to identify project stakeholders (e.g., subject matter experts, colleagues from a former or current organization, faculty, and other nursing professionals) who have agreed to collaborate with you during this phase of your project. You will consult with appropriate stakeholders to complete and submit the “Impact Analysis Template” and “SWOT Analysis Template.” These deliverables will be evaluated in your CPE for completion, not quality. When you submit these deliverables as appendices with your HIP paper in this task, they will be evaluated for content and quality of completion, so please check your work to make sure it meets the requirements for your HIP paper. CPE provides you an opportunity to practice and improve these items before including them in your Task 1 of the performance assessment.

REQUIREMENTS
Your submission must be original. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.

 

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

 

Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive, etc., unless specified in the task requirements. All other submissions must be file types that are uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).

 

Complete the “Healthcare Improvement Project Initiation” section of your healthcare improvement project (HIP) paper by doing the following:

 

Stakeholder Identification

A. Summarize the process you used to identify three stakeholders who will contribute to the success of your project proposal by becoming members of your project team, including the following information:

• the technique you use to identify the three stakeholders

• a brief description of each stakeholder’s experience or expertise

• the role each stakeholder will have in supporting the proposed healthcare improvement project (HIP)

 

Note: Do not include the actual names of people.

 

Needs Assessment
B. Explain the process you used to determine the need for an HIP, including the following:
• the method to capture ideas from stakeholders

• how these ideas were organized into themes

• the process for reaching consensus on the need for a HIP

 

Problem Identification
C. Present the problem or opportunity that will be the focus of your project and explain the significance of your project to your target population, your organization, and your nursing practice.

 

Note: Use the problem or opportunity determined by your needs assessment.

 

Problem Description
D. Describe the background information leading up to the problem or opportunity at your organization.

 

Impact Analysis and Template
E. Assess the feasibility of implementing the HIP by doing the following:

1. Submit a copy of the “Impact Analysis Template” that you completed during your CPE as Appendix A of your HIP paper.

2. Discuss the feasibility of the HIP using the results of your impact analysis and an interpretation of the impact ratio calculation.

 

SWOT Analysis and Template

F. Assess the organization’s readiness for the HIP by doing the following:

1. Submit a copy of the “SWOT Analysis Template” that you completed during your CPE as Appendix B of your HIP paper.

2. Describe the process used to complete the SWOT analysis, including how stakeholders or SMEs helped identify the factors that may impact the implementation of the HIP.

3. Describe one internal or external organizational regulatory or one compliance requirement that may impede or facilitate the implementation of your project.

 

G. Incorporate the following components of APA style and formatting into your paper:

• bias-free language

• objectivity, credibility of sources, and evidence-based approach

• APA-specific rules regarding verb tense, voice, and perspective

• a title page and headers

• APA-specific formatting rules for in-text citations and references, margins, spacing, numbering, and indentation for the title page, main body, and appendices of your paper, including headers, bulleted and numbered lists, and tables and figures

H. Demonstrate professional communication in the content and presentation of your submission.

 

RUBRIC
A:STAKEHOLDER IDENTIFICATION
NOT EVIDENT

A summary of the process used to identify 3 stakeholders is not provided.

APPROACHING COMPETENCE

The summary does not logically explain the process used to identify 3 stakeholders that will contribute to the success of the project proposal. Or the summary does not include the technique used to identify the stakeholders, the experience or expertise of each stakeholder, or the role each stakeholder will have in supporting the healthcare improvement project.

COMPETENT

The summary logically explains the process used to identify 3 stakeholders that will contribute to the success of the project proposal. The summary includes the technique used to identify the stakeholders, the experience or expertise of each stakeholder, and the role each stakeholder will have in supporting the proposed healthcare improvement project.

B:NEEDS ASSESSMENT
NOT EVIDENT

An explanation of the process used to conduct a needs assessment is not provided.

APPROACHING COMPETENCE

The explanation of the process used to conduct a needs assessment does not represent a logical progression of ideas into themes for the purpose of reaching consensus on the need for a HIP. Or the explanation does not include all given components, or 1 or more of the given components contains inaccurate or irrelevant information.

COMPETENT

The explanation of the process used to conduct a needs assessment represents a logical progression of ideas into themes for the purpose of reaching consensus on the need for a HIP. The explanation includes all given components, which each contain accurate and relevant information.

C:PROBLEM IDENTIFICATION
NOT EVIDENT

The submission does not present a problem or opportunity that will be the focus of the project.

APPROACHING COMPETENCE

The submission presents the problem or opportunity that will be the focus of the project but does not logically explain the significance of the project for the target population, the organization, or the nursing practice.

COMPETENT

The submission presents the problem or opportunity that will be the focus of the project and logically explains the significance of the project for the target population, the organization, and the nursing practice.

D:PROBLEM DESCRIPTION
NOT EVIDENT

A description of background information is not provided.

APPROACHING COMPETENCE

The description provides background information leading up to the problem or opportunity at the organization, but the information is not relevant to the candidate’s HIP.

COMPETENT

The description provides background information leading up to the problem or opportunity at the organization, and the information is relevant to the candidate’s HIP.

E1:IMPACT ANALYSIS
NOT EVIDENT

A completed “Impact Analysis Template” is not submitted.

APPROACHING COMPETENCE

A completed “Impact Analysis Template” is submitted, but 1 or more of the components of the impact analysis are not logical or do not relate to the HIP or assessing the feasibility of implementing the project. Or the “Impact Analysis Template” is not submitted as Appendix A of the HIP paper.

COMPETENT

A completed “Impact Analysis Template” is submitted as Appendix A of the HIP paper, and all components of the impact analysis are logical and relate to the HIP and to assessing the feasibility of implementing the project.

E2:IMPACT ANALYSIS RESULTS
NOT EVIDENT

A discussion of the results of the impact analysis is not provided.

APPROACHING COMPETENCE

The discussion of the results of the impact analysis does not accurately assess feasibility of the HIP, is not logical, or does not include an accurate interpretation of the impact ratio calculation.

COMPETENT

The discussion accurately and logically assesses feasibility of the HIP using the results of the impact analysis and includes an accurate interpretation of the impact ratio calculation.

F1:SWOT ANALYSIS
NOT EVIDENT

A completed “SWOT Analysis Template” is not submitted.

APPROACHING COMPETENCE

A completed “SWOT Analysis Template” is submitted, but 1 or more of the elements of the SWOT analysis are not logical or not relevant to either the organization or the HIP. Or the “SWOT Analysis Template” is not submitted as Appendix B of the HIP paper.

COMPETENT

A completed “SWOT Analysis Template” is submitted as Appendix B of the HIP paper, and all elements of the SWOT analysis are logical and relevant to the organization and the HIP.

F2:SWOT ANALYSIS PROCESS
NOT EVIDENT

A description of the process used to complete the SWOT analysis is not provided.

APPROACHING COMPETENCE

The description of the process used to complete the SWOT analysis is not logical or does not logically describe how the key stakeholders or SMEs helped identify factors that may impact the implementation of the HIP. Or the process used was not appropriate for completing a SWOT analysis.

COMPETENT

The description of the process used to complete the SWOT analysis is logical and logically describes how the stakeholders or SMEs helped identify factors that may impact the implementation of the HIP. The process used was appropriate for completing a SWOT analysis.

F3:REQUIREMENTS IMPEDE OR FACILITATE IMPLEMENTATION
NOT EVIDENT

A description of regulatory or compliance requirements is not provided.

APPROACHING COMPETENCE

The description of 1 internal or external organizational regulatory or 1 compliance requirement does not logically address how it may impede or facilitate the implementation of the improvement project or the description does not address at least 1 regulatory or 1 compliance requirement, or the description does not include plausible examples.

COMPETENT

The description of 1 internal or external organizational regulatory or 1 compliance requirement logically addresses how it may impede or facilitate the implementation of the improvement project, including plausible examples.

G:APA STYLE AND FORMAT
NOT EVIDENT

The submission does not incorporate the given APA style and format components as described in the current APA manual.

APPROACHING COMPETENCE

The submission does not accurately or consistently incorporate 1 or more of the given APA style and format components as described in the current APA manual.

COMPETENT

The submission accurately and consistently incorporates all of the given APA style and format components as described in the current APA manual.

H:PROFESSIONAL COMMUNICATION
NOT EVIDENT

Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.

APPROACHING COMPETENCE

Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.

COMPETENT

Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.