Education Home Care Application: Quality Improvement Assignment

HOME CARE SCENARIO: Quality Improvement through Risk Management

Scenario

The long-term care center has 225 beds and provides the highest level of patient care, according to on- going Department of Health Services annual surveys. The Director of the long-term center has the overall responsibility of ensuring the continuing high level of quality outcomes while also concurrently keeping the facility as risk free as practical. You and the Director have just returned from an annual Long-Term Care Association symposium where you were both introduced to some new groundbreaking initiatives regarding the differences between risk management and quality improvement.

Earlier in the week, the Director called for a meeting of the center’s department managers, including the Quality Assurance Nurse and the Manager of Risk Management. After briefing them on the symposium talking points, your Director asks you to come up with a working plan and strategy for how the facili- ty will use both of the concepts you have introduced to arrive at a more centralized and standardized approach. Overall, the desired outcomes focus on adopting a new approach to higher quality with fewer risk factors for the organization.

Later that week, the Manager of Risk Management, the Manager of Nursing Quality Assurance, and a representative from Human Resources met to formulate a new plan to reduce the litigation exposure while concurrently increasing the quality of patient outcomes. They set about the complex set of tasks with the expectation that you, as the Director’s designated facilitator, will be closely reviewing their final recommendations.

Provide a 250-word executive summary of the research project and recommended plan of action that you will provide to the Director.

Address the following:

Questions:

1. What is the necessary background information needed to complete your executive summary?Who are the stakeholders?

2. How do the facility’s current Continuous Quality Improvement (CQI) outcomes correspond with the current litigation prevention systems?

3. What factors within the nursing units are the most critical to consider when examining higher quality outcomes?

4. What factors within the nursing units are the most critical to consider when examining lower litigation adverse actions and operational impact?

5. What future steps must be taken to accomplish this directive?

Home Care Application: Quality Improvement Through Risk Management - Rubric Total 30

points

Criterion 1. Unsatisfactory 2. Less than

Satisfactory 3. Satisfactory 4. Good 5. Excellent

Demonstrate the ability to

utilize appropriate

resources for decision

making.

Demonstrate the ability to

utilize appropriate resources

for decision making.

0 points

Student does not utilize

appropriate resources for

decision making. Solution is

inappropriate and lacks

rationale.

6.83 points

Student does partially utilize

appropriate resources for

decision making. Student

proposes an appropriate

solution, but significant

rationale is needed.

7.88 points

Student utilizes appropriate

resources for decision

making. Student proposes an

appropriate solution in the

form of a summary.

Moderate details are needed

in recognizing implications

for all parties involved, and in

supporting rationale.

8.92 points

Student significantly utilizes

resources for decision

making. Minor details are

needed in recognizing

implications for all parties

involved, and in supporting

rationale.

10.5 points

Student completely utilizes

resources for decision

making. Student proposes an

appropriate solution

supported with detailed

rationale.

Provide justification for

decisions and action plans

including appropriate

ethical considerations.

Provide justification for

decisions and action plans

including appropriate ethical

considerations.

0 points

Student does not provide any

justification for decisions and

action plans including

appropriate ethical

considerations.

5.85 points

Student provides partial

justification for decisions and

action plans including

appropriate ethical

considerations.

6.75 points

Student provides appropriate

justification for decisions and

action plans including

appropriate ethical

considerations.

7.65 points

Student provides significant

justification for decisions and

action plans including

appropriate ethical

considerations.

9 points

Student provides complete

justification for decisions and

action plans, including

appropriate ethical

considerations.

Integrates Principles,

Concepts, Theories, and

Ideas

Integrates principles,

concepts, theories, and ideas

presented in the course

content and program of

study in a logical manner.

0 points

Student does not

successfully integrate ideas

or course concepts; or the

combination of elements is

not logical or verifiable.

5.85 points

Student attempts to

integrate ideas or course

concepts. The combination of

elements is not logical or

verifiable.

6.75 points

Student integrates ideas or

course concepts, but the

combination of elements at

times is confusing.

7.65 points

Student integrates ideas or

course concepts, and

combination of elements is

logical or verifiable.

9 points

Student integrates ideas or

course concepts, and

synthesis is unique. Synthesis

shows careful planning and

attention to how different

elements fit together. The

combination of elements is

logical and verifiable.

(includes spelling,

punctuation, grammar, and

language use)

(includes spelling,

punctuation, grammar, and

language use)

0 points

Surface errors are pervasive

enough that they impede

communication of meaning.

Inappropriate word choice or

sentence construction is

employed.

0.98 points

Frequent and repetitive

mechanical errors distract

the reader. Inconsistencies in

language choice (register) or

word choice are present.

Sentence structure is correct

but not varied.

1.13 points

Some mechanical errors or

typos are present, but they

are not overly distracting to

the reader. Correct and

varied sentence structure

and audience-appropriate

language are employed.

1.28 points

Prose is largely free of

mechanical errors, although

a few may be present. The

writer uses a variety of

effective sentence structures

and figures of speech.

1.5 points

The writer is clearly in

command of standard

written academic English.

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