Evaluation Plan APRN DNP
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a year ago 25
Evaluation_Plan_Template.pdf
EvaluationplanTaskandRubric.docx
EvaluationPlanTemplate.docx
Evaluation_Plan_Template.pdf
Evaluation Plan – EXAMPLE Description of Problem
Patients are not receiving frequent enough follow-up for their “disease” care, resulting in an increase in urgent
readmission to the hospital.
Description of the Change/Intervention/Program
The intervention: Begin a telehealth nurse visit program for patients at my clinic who have a diagnosis of “x” or
are at risk for “X.”
Measures:
1. Write at least one outcome measure.
Outcome measure Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Decrease in the number of patients being urgently readmitted for diagnosis “X”
What are the other factors contributing to these patients being readmitted?
The project lead will collect the data from the case management department staff.
Quantitative There will be a 20% decrease in urgent readmissions within 6 months of program start.
2. Write three process measures.
Process measures Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Determine provider support through either electronic survey or presentation and Q&A at provider staff meeting.
Which method of collecting this information will be most effective given current circumstances?
The project lead will be responsible for collecting the data from the providers.
Survey – quantitative
Provider support will be obtained within 60 days.
2. Determine specific unit to implement program.
With the current staff shortages, is there another way to fill this need?
The project lead will coordinate with the administrative sponsor.
Quantitative Specific unit will be determined within 3 months of approval.
3. Educate staff on the program and their responsibilities.
What is the best method to provide the education?
Attendance at the training session will be monitored by the project lead.
Quantitative 100% staff will be educated within 30 days of hire/start.
4. Write one balance measure.
Balance measure Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Patients may decrease their usual primary care visits to rely on this telehealth visit.
What are additional ways to monitor for this?
The telehealth staff program will talk with the patients and ask if they are attending their appointments.
Quantitative No change in the rate of patient primary care provider visits.
5. Write one impact measure.
Impact measure Questions to consider
When and How to collect the data and from whom
Type of Analysis
Target
1. The hospital will have improved financials due to less lost revenue from the readmissions.
What other things might be affecting the financials related to this patient population admissions?
The project lead will collect the information from the finance director.
Quantitative There will be 10% less lost revenue from the readmissions within 9–12 months of project launch.
Communication Plan: Answer each question; you may use bullet points.
1. Who are the stakeholders to whom you need to communicate the results?
a. Providers
b. Patients
c. Administrators
d. Telehealth program staff
2. What do you need to communicate to the stakeholders?
a. If the program is seeing good results, then:
i. The providers need to know if the program is improving the readmission rates and
patient outcomes.
ii. Patients need to know that participation in the program can help them improve their
outcome.
iii. Administrators also need to know how effective the program is as well as patient
satisfaction with the program.
iv. Telehealth staff need to know that the work they are doing is effective.
b. If the program needs changes, then all the providers and administrators need to be made
aware of this and what is needed to make further improvements. Staff need to know as well.
3. When do you need to communicate?
a. Updates should be communicated regularly based on stakeholder preference. Providers may
want a quarterly update, whereas administrators may want monthly. Staff may require weekly
updates to help with sustaining positive workflow behaviors and implementation. Patients may
be updated if there are changes that pertain to their care.
4. How will you communicate the results?
a. Results will be communicated via presentation at the leadership meeting. A written executive
summary will be provided to the providers, unless they request a presentation at one of their
meetings. Staff will have verbal communication during staff huddles/meetings and written
communication via email.
EvaluationplanTaskandRubric.docx
Task/ Rubric
1. Review the lesson.
2. Review a faculty example of an evaluation plan that uses the template (PDF)Links to an external site..
3. Review the grading rubric at the bottom of this page.
4. Complete each portion of the evaluation plan.
a. Description of the problem—must be specific and must include the organization/healthcare entity problem
b. Description of the intervention—must be specific and must include where or which organization/healthcare entity this intervention will be implemented
c. Outcome measure section
d. Process measures section (note: you need three in this section)
e. Balance measure section
f. Impact measure section
g. Communication plan—answer all four questions and be specific.
5. If you have any questions, ask your faculty.
|
Evaluation Plan Rubric |
||
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Criteria |
Ratings |
Pts |
|
Description of problem |
4 to >3 pts Meets Criterion The problem is clearly stated with specified patient population and the specific problem within a specific organization. 3 to >0 pts Partially Meets Criterion The problem is not clearly stated, the patient population is too broad, and/or there is no identified specific problem within a specific organization. |
/ 4 pts |
|
Description of intervention |
4 to >3 pts Meets Criterion The intervention is clearly stated and is appropriate for implementation at a specific organization/healthcare entity. 3 to >0 pts Partially Meets Criterion The intervention is not clearly stated or is not appropriate, or a specific organization or healthcare entity is not identified. |
/ 4 pts |
|
One outcome measure |
16 to >15 pts Meets Criterion Writes one clear, appropriate, and measurable outcome measure. Target is specific and includes time frame. 15 to >0 pts Partially Meets Criterion The outcome measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 16 pts |
|
Three process measures |
18 to >17 pts Meets Criterion Writes three clear, appropriate, and measurable process measures. 17 to >0 pts Partially Meets Criterion The process measures are not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 18 pts |
|
One balance measure |
8 to >7 pts Meets Criterion Writes one clear and measurable balance measure. 7 to >0 pts Partially Meets Criterion The balance measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 8 pts |
|
One impact measure |
8 to >7 pts Meets Criterion Writes one clear and measurable impact measure. 7 to >0 pts Partially Meets Criterion The impact measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 8 pts |
|
Communication plan view longer description |
4 to >3 pts Meets Criterion Provides specific details on the four communication plan questions. 3 to >0 pts Partially Meets Criterion Provides general statements in response to the communication plan questions. |
/ 4 pts |
|
Total Points: 0 |
EvaluationPlanTemplate.docx
Evaluation Plan Template
Description of Problem
Description of the Change/Intervention/Program
Measures:
1. Write at one outcome measure.
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Outcome measure |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
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2. Write three process measures
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Process measures |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
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3.Write one balance measure .
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Balance measure |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
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4.Write one impact measure.
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Impact measure |
Questions to consider |
When and How to collect the data and from whom |
Type of Analysis |
Target |
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Communication Plan: Answer each question; you may use bullet points.
1. Who are the Stakeholders with which you need to communicate the results?
2. What do you need to communicate to the stakeholders?
3. When do you need to communicate?
4. How will you communicate the results?
Evaluation_Plan_Template.pdf
Evaluation Plan – EXAMPLE Description of Problem
Patients are not receiving frequent enough follow-up for their “disease” care, resulting in an increase in urgent
readmission to the hospital.
Description of the Change/Intervention/Program
The intervention: Begin a telehealth nurse visit program for patients at my clinic who have a diagnosis of “x” or
are at risk for “X.”
Measures:
1. Write at least one outcome measure.
Outcome measure Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Decrease in the number of patients being urgently readmitted for diagnosis “X”
What are the other factors contributing to these patients being readmitted?
The project lead will collect the data from the case management department staff.
Quantitative There will be a 20% decrease in urgent readmissions within 6 months of program start.
2. Write three process measures.
Process measures Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Determine provider support through either electronic survey or presentation and Q&A at provider staff meeting.
Which method of collecting this information will be most effective given current circumstances?
The project lead will be responsible for collecting the data from the providers.
Survey – quantitative
Provider support will be obtained within 60 days.
2. Determine specific unit to implement program.
With the current staff shortages, is there another way to fill this need?
The project lead will coordinate with the administrative sponsor.
Quantitative Specific unit will be determined within 3 months of approval.
3. Educate staff on the program and their responsibilities.
What is the best method to provide the education?
Attendance at the training session will be monitored by the project lead.
Quantitative 100% staff will be educated within 30 days of hire/start.
4. Write one balance measure.
Balance measure Questions to consider
How will data be collected? Who will collect the data?
Type of analysis
Target
1. Patients may decrease their usual primary care visits to rely on this telehealth visit.
What are additional ways to monitor for this?
The telehealth staff program will talk with the patients and ask if they are attending their appointments.
Quantitative No change in the rate of patient primary care provider visits.
5. Write one impact measure.
Impact measure Questions to consider
When and How to collect the data and from whom
Type of Analysis
Target
1. The hospital will have improved financials due to less lost revenue from the readmissions.
What other things might be affecting the financials related to this patient population admissions?
The project lead will collect the information from the finance director.
Quantitative There will be 10% less lost revenue from the readmissions within 9–12 months of project launch.
Communication Plan: Answer each question; you may use bullet points.
1. Who are the stakeholders to whom you need to communicate the results?
a. Providers
b. Patients
c. Administrators
d. Telehealth program staff
2. What do you need to communicate to the stakeholders?
a. If the program is seeing good results, then:
i. The providers need to know if the program is improving the readmission rates and
patient outcomes.
ii. Patients need to know that participation in the program can help them improve their
outcome.
iii. Administrators also need to know how effective the program is as well as patient
satisfaction with the program.
iv. Telehealth staff need to know that the work they are doing is effective.
b. If the program needs changes, then all the providers and administrators need to be made
aware of this and what is needed to make further improvements. Staff need to know as well.
3. When do you need to communicate?
a. Updates should be communicated regularly based on stakeholder preference. Providers may
want a quarterly update, whereas administrators may want monthly. Staff may require weekly
updates to help with sustaining positive workflow behaviors and implementation. Patients may
be updated if there are changes that pertain to their care.
4. How will you communicate the results?
a. Results will be communicated via presentation at the leadership meeting. A written executive
summary will be provided to the providers, unless they request a presentation at one of their
meetings. Staff will have verbal communication during staff huddles/meetings and written
communication via email.
EvaluationplanTaskandRubric.docx
Task/ Rubric
1. Review the lesson.
2. Review a faculty example of an evaluation plan that uses the template (PDF)Links to an external site..
3. Review the grading rubric at the bottom of this page.
4. Complete each portion of the evaluation plan.
a. Description of the problem—must be specific and must include the organization/healthcare entity problem
b. Description of the intervention—must be specific and must include where or which organization/healthcare entity this intervention will be implemented
c. Outcome measure section
d. Process measures section (note: you need three in this section)
e. Balance measure section
f. Impact measure section
g. Communication plan—answer all four questions and be specific.
5. If you have any questions, ask your faculty.
|
Evaluation Plan Rubric |
||
|
Criteria |
Ratings |
Pts |
|
Description of problem |
4 to >3 pts Meets Criterion The problem is clearly stated with specified patient population and the specific problem within a specific organization. 3 to >0 pts Partially Meets Criterion The problem is not clearly stated, the patient population is too broad, and/or there is no identified specific problem within a specific organization. |
/ 4 pts |
|
Description of intervention |
4 to >3 pts Meets Criterion The intervention is clearly stated and is appropriate for implementation at a specific organization/healthcare entity. 3 to >0 pts Partially Meets Criterion The intervention is not clearly stated or is not appropriate, or a specific organization or healthcare entity is not identified. |
/ 4 pts |
|
One outcome measure |
16 to >15 pts Meets Criterion Writes one clear, appropriate, and measurable outcome measure. Target is specific and includes time frame. 15 to >0 pts Partially Meets Criterion The outcome measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 16 pts |
|
Three process measures |
18 to >17 pts Meets Criterion Writes three clear, appropriate, and measurable process measures. 17 to >0 pts Partially Meets Criterion The process measures are not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 18 pts |
|
One balance measure |
8 to >7 pts Meets Criterion Writes one clear and measurable balance measure. 7 to >0 pts Partially Meets Criterion The balance measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 8 pts |
|
One impact measure |
8 to >7 pts Meets Criterion Writes one clear and measurable impact measure. 7 to >0 pts Partially Meets Criterion The impact measure is not measurable, not appropriate, or not clear, or there is no time frame provided. |
/ 8 pts |
|
Communication plan view longer description |
4 to >3 pts Meets Criterion Provides specific details on the four communication plan questions. 3 to >0 pts Partially Meets Criterion Provides general statements in response to the communication plan questions. |
/ 4 pts |
|
Total Points: 0 |
EvaluationPlanTemplate.docx
Evaluation Plan Template
Description of Problem
Description of the Change/Intervention/Program
Measures:
1. Write at one outcome measure.
|
Outcome measure |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
|
|
|
|
|
|
2. Write three process measures
|
Process measures |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
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|
|
|
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3.Write one balance measure .
|
Balance measure |
Questions to consider |
How will data be collected? Who will collect the data? |
Type of Analysis |
Target |
|
|
|
|
|
|
|
|
|
|
|
|
4.Write one impact measure.
|
Impact measure |
Questions to consider |
When and How to collect the data and from whom |
Type of Analysis |
Target |
|
|
|
|
|
|
|
|
|
|
|
|
Communication Plan: Answer each question; you may use bullet points.
1. Who are the Stakeholders with which you need to communicate the results?
2. What do you need to communicate to the stakeholders?
3. When do you need to communicate?
4. How will you communicate the results?