407fi

NUR 400 Final Project Guidelines and Rubric

Overview Your assessment for this course is a presentation that provides justified proposals for quality improvement within a specific organization. The proposal will address strategies for improving a quality patient indicator within the healthcare organization, utilizing evidence-based and peer-reviewed research and careful analysis of organizational processes, organizational structures, leadership responsibilities, and value-based reimbursement. In addition, the presentation will need to include a concise plan for implementation and evaluation of the proposal from organizational, financial, and patient-care perspectives.

Most importantly, this assessment will provide you with the opportunity to demonstrate sophisticated and critical research, analysis, and communication skills by allowing you the opportunity to synthesize your own research into a qualified, well-articulated presentation to leadership to improve the quality of patient care. These skills and abilities are essential for nursing professionals who hope to drive positive, sound organizational change within the healthcare industry. For this presentation, you will have the option of using your current healthcare organization, a previous employer, an organization you had experience with during clinicals as a student, or the provided alternative case study as the basis for your presentation. This assessment will address the following course outcomes:

x NUR-400-01: Evaluate tracer methodology as an effective and sustainable means of measuring quality delivery of care x NUR-400-02: Assess theories of change for their applicability and use in promoting performance improvement initiatives in healthcare organizations x NUR-400-03: Analyze organizational processes that impact communication and flow of survey-required quality data throughout the healthcare

institution x NUR-400-04: Recommend interprofessional strategies that improve nursing-sensitive quality indicators x NUR-400-05: Articulate the role of leadership in the planning, analysis, and implementation of performance improvement initiatives within the

organization x NUR-400-06: Analyze the relationship between quality outcomes and value-based reimbursement in healthcare for improvement opportunities

Prompt

Your presentation should answer the following prompt: Present a proposal for addressing or improving a quality patient indicator within a healthcare organization, including evidence-based and peer-reviewed support, an implementation plan, and considerations of organizational and leadership roles. Specifically, the following critical elements must be addressed:

I. Introduction a) Organization: Analyze the organization to determine the key characteristics (including organizational values if applicable) that are important to

consider when developing plans for change and implementation of quality indicator proposals.

b) Improvement Opportunity: What is the issue(s) involving patient safety and financial considerations within the organization that needs to be

addressed? Explain the connection between patient safety and financial state of the organization in terms of opportunity presented. c) Purpose: Articulate the overall purpose of your proposal/proposed initiative for improving quality of care within your organization. In other

words, what is your intended initiative for addressing the issue(s)/improvement opportunity identified? d) Proposal Initiative: Detail the initiative you are proposing in terms of its application to your organization. In other words, what is it that you are

proposing, and why is it relevant for your organization? e) Leadership: Articulate the role leadership plays in the current situation/environment that needs to be addressed. In other words, in presenting

your proposal to leadership, you will need to articulate the overall role they play in the current environment, such as whether leadership is attempting to address the issue, is unintentionally furthering the issue, or has not yet identified your concerns as an organizational issue.

II. Research and Support:

a) Proposal Care Support: Summarize the research from evidence-based studies and peer-reviewed sources that led you to believe that your proposal would improve quality delivery of care within your organization.

b) Value-Based Support: Summarize the research from evidence-based studies and peer-reviewed sources that led you to believe that your proposal would improve value-based reimbursement for your organization.

c) Data Evidence: Detail the data from the organization or that you collected yourself that indicated the need for improvement, and explain how you drew your conclusions. Note: This data should consist of tracer data, performance improvement data, benchmarks, and so on.

d) Strategies: Detail existing interprofessional strategies that could be applied to your initiative and organization. e) Strategy Defense: Defend your recommended strategies in terms of their ability to improve nursing-sensitive quality indicators based on

relevant, reliable research. f) Change Theory: Analyze relevant theories of change that informed your proposed initiative and could help with implementation. g) Change Assessment: How applicable are change theories to promoting your intended initiative and to the type and structure of your healthcare

organization?

III. Implementation a) Quality Outcomes: What are the desired quality outcomes you hope to achieve through implementation of your initiative? Your outcomes

should be reasonable, measurable, and time-considerate to help monitor progress. b) Communication: Analyze the organizational processes for communicating change initiatives to determine the most effective paths/methods for

promoting the proposed initiative. c) Flow of Data: Discuss how the existing organizational processes will allow for improved or maintained flow of survey-required quality data that

may be valuable for tracking your initiative. d) Needed Leadership: Describe the behaviors of leadership and the role of leadership in implementing these strategies for change within the

organization. In other words, what responsibilities do leaders within your organization hold to ensure the implementation of the initiative?

IV. Evaluation

a) Plan: What is your plan for evaluation of the strategies using performance improvement data and tracers? What tracers will you use? Include necessary detail to deliver key points and requirements, such as specific data collection methods, timeframes for evaluation, and intended re- evaluation.

b) Plan Evaluation: How effective and sustainable is your plan? In other words, evaluate the effectiveness and the ease of use, timeliness, and efficiency of your plan for the progress and success of your initiative.

c) Role of Leadership: Given your discussions about the roles and responsibilities of leadership within the organization, discuss the importance of leadership for successful improvement initiatives. In other words, articulate the role and importance of leadership in the successful review, implementation, and continuous improvement of performance initiatives.

Milestones

Milestone One: Introduction This milestone is due in Module Two. This milestone is graded with the Milestone One Rubric. Milestone Two: Research and Support This milestone is due in Module Four. This milestone is graded with the Milestone Two Rubric. Milestone Three: Implementation This milestone is due in Module Five. This milestone is graded with the Milestone Three Rubric. Milestone Four: Evaluation This milestone is due in Module Six. This milestone is graded with the Milestone Four Rubric. Final Project: Submission The final project is due in Module Seven. This final project is graded with the Final Project Rubric.

Final Project Rubric

Guidelines for Submission: Your presentation should be approximately 15–20 slides, not including reference slides and introductory slides. You should include appropriate speaker notes, and you may include an audiovisual recording of your presentation in your submission.

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

Introduction: Organization [NUR-400-03]

Meets “Proficient” criteria and evidences keen insight into analyzing organizational nuances that could influence quality planning

Analyzes accurately the organization to determine important characteristics for consideration in planning for change and implementation

Analyzes the organization to determine important characteristics for consideration in planning for change and implementation, but with gaps in accuracy or detail

Does not analyze the organization to determine important characteristics for consideration in planning for change and implementation

5.28

Introduction: Improvement Opportunity [NUR-400-06]

Meets “Proficient” criteria and evidences keen insight into the nuances of the relationship between patient safety and fiscal stability of the organization

Accurately identifies and explains the relationship between patient safety issues and fiscal stability of the organization

Identifies and explains the relationship between patient safety issues and fiscal stability of the organization, but with gaps in accuracy or detail

Does not identify and explain the relationship between patient safety issues and fiscal stability of the organization

3.95

Introduction: Purpose

[NUR-400-04]

Meets “Proficient” criteria, and articulation evidences professional or sophisticated representation of purpose

Articulates accurately and clearly the purpose of the proposal for improving quality of care within the organization

Articulates the purpose of the proposal for improving quality of care within the organization, but with gaps in accuracy or clarity

Does not articulate the purpose of the proposal for improving quality of care within the organization

5.28

Introduction: Proposal Initiative

[NUR-400-02]

Meets “Proficient” criteria and offers more reflective insight into the application of the initiative to the organization

Details accurately the initiative in terms of its application to the organization

Details the initiative in terms of applicability to the organization, but with gaps in accuracy

Does not detail the initiative in terms of its application to the organization

5.28

Introduction: Leadership

[NUR-400-05]

Meets “Proficient” criteria and offers professional insight into the role of leadership in the current situation

Articulates accurately the role that leadership plays in the current situation to be addressed

Articulates the role of leadership but with gaps in accuracy or clarity

Does not articulate the role of leadership

5.28

Research and Support:

Proposal Care Support

[NUR-400-06]

Meets “Proficient” criteria and offers greater insight and clarity when summarizing the research from evidence-based studies and peer-reviewed sources that support quality delivery of care

Summarizes accurately the research from evidence-based studies and peer-reviewed sources that support quality delivery of care within the organization

Summarizes the research from evidence-based studies and peer-reviewed sources that support quality delivery of care within the organization, but with gaps in accuracy

Does not summarize the research from evidence-based studies and peer-reviewed sources that support quality delivery of care within the organization

3.95

Research and

Support: Value-Based Support

[NUR-400-06]

Meets “Proficient” criteria and offers greater detail when summarizing the research from evidence-based studies and peer-reviewed sources that support value-based reimbursement for the initiative

Summarizes accurately the research from evidence-based studies and peer-reviewed sources that support value-based reimbursement for the initiative

Summarizes the research from evidence-based studies and peer-reviewed sources that support value-based reimbursement for the initiative, but with gaps in accuracy

Does not summarize the research from evidence-based studies and peer-reviewed sources that support value-based reimbursement for the initiative

3.95

Research and Support:

Data Evidence [NUR-400-01]

Meets “Proficient” criteria and more precisely details the data that was collected to indicate the need for the quality initiative

Accurately identifies the data that was collected that indicated the need for the quality initiative

Identifies the data that was collected and indicated the need for the quality initiative, but with gaps in accuracy

Does not identify the data that was collected that indicated the need for the quality initiative

5.28

Research and Support:

Strategies [NUR-400-04]

Meets “Proficient” criteria and offers greater description concerning the interprofessional strategies that exist within the organization

Accurately articulates interprofessional strategies that exist within the organization

Articulates interprofessional strategies that exist within the organization, but with gaps in accuracy

Does not articulate interprofessional strategies that exist within the organization

5.28

Strategy Defense [NUR-400-04]

Meets “Proficient” criteria and evidences keen insight into pulling quality information and support from academically and professionally sound sources

Defends recommended strategies in terms of their ability to improve nursing-sensitive quality indicators based on relevant, reliable research

Defends recommended strategies in terms of their ability to improve nursing-sensitive quality indicators, but does not draw on relevant and reliable research

Does not defend recommended strategies in terms of their ability to improve nursing-sensitive quality indicators

5.28

Research and Support:

Change Theory [NUR-400-02]

Meets “Proficient” criteria and offers more detailed descriptions of change theories as they inform the quality initiative and are able to help with implementation

Accurately analyzes relevant theories of change as they inform the quality initiative and are able to help with implementation

Analyzes relevant theories of change as they inform the quality initiative and are able to help with implementation, but with gaps in accuracy or detail

Does not analyze relevant theories of change as they inform the quality initiative and are able to help with implementation

5.28

Research and Support:

Change Assessment [NUR-400-02]

Meets “Proficient” criteria and offers greater professional insight into the applicability of change theories to promoting the initiative within the organization

Accurately assesses applicability of change theories to promoting the initiative within the organization

Assesses applicability of change theories to promoting the initiative within the organization, but with gaps in accuracy or detail

Does not assess applicability of change theories to promoting the initiative within the organization

5.28

Implementation: Quality Outcomes

[NUR-400-6]

Meets “Proficient” criteria and offers greater depth of explanation about the expected quality outcomes resulting from the performance improvement initiative

Articulates accurately the measurable quality outcomes expected as a result of the performance improvement initiative

Articulates the measureable quality outcomes expected as a result of the performance improvement initiative, but with gaps in clarity and accuracy

Does not articulate the measureable quality outcomes expected as a result of the performance improvement initiative

3.95

Implementation: Communication

[NUR-400-03]

Meets “Proficient” criteria and evidences keen insight into the processes of communication within the organization that will best determine the success of the quality initiative

Accurately analyzes the processes of communication within the organization to determine the most efficient methods for promoting the proposed initiative

Analyzes the processes of communication within the organization to determine methods for promoting the proposed initiative, but with gaps in accuracy, or methods identified are not the most efficient

Does not analyze the processes of communication within the organization to determine methods for promoting the proposed initiative

5.28

Implementation: Flow of Data [NUR-400-03]

Meets “Proficient” criteria and offers keen insight into organizational processes that enhance the flow of performance improvement data

Accurately articulates how organizational processes allow for flow of survey-required data that is necessary for the performance improvement initiative

Articulates how organizational processes allow for survey- required data, but with gaps in detail or accuracy

Does not articulate how organizational processes allow for survey-required data

5.28

Implementation: Needed Leadership

[NUR-400-05]

Meets “Proficient” criteria and offers professional insight into leadership roles that are needed for successful implementation of the initiative

Accurately describes the roles and behaviors of leadership within the organization that serve to ensure successful implementation of the initiative

Describes the roles and behaviors of leadership within the organization that serve to ensure successful implementation of the initiative, but with gaps in accuracy

Does not describe the roles and behaviors of leadership within the organization that serve to ensure successful implementation of the initiative

5.28

Evaluation: Plan

[NUR-400-01]

Meets “Proficient” criteria and offers insightful detail concerning the data collection methods and processes for re- evaluation of the initiative

Accurately articulates the strategies for evaluation of the initiative by specifying data collection methods, time frames, and processes for re-evaluation

Articulates the strategies for evaluation of the initiative by specifying data collection methods and time frames, but with gaps in accuracy or detail

Does not articulate the strategies for evaluation of the initiative by specifying data collection methods and time frames

5.28

Evaluation: Plan Evaluation [NUR-400-01]

Meets “Proficient” criteria and offers keen insight into the processes that affect timeliness and sustainability of the plan

Logically evaluates the plan for its effectiveness, ease of use, and efficiency within the context of initiative progress and success

Evaluates the plan for its effectiveness, ease of use, and efficiency, but with gaps in detail or logic, or not within the context of initiative progress and success

Does not evaluate the plan for its effectiveness, ease of use, and efficiency

5.28

Evaluation: Role of Leadership

[NUR-400-05]

Meets “Proficient” criteria and offers professional insights into roles of leadership that contribute positively to the planning, implementation, and evaluation of performance improvement initiatives

Accurately articulates the role of leadership in the planning, execution, and evaluation of performance improvement initiatives

Articulates the roles of leadership in the planning, execution, and evaluation of performance improvement initiatives, but with gaps in accuracy or detail

Does not articulate the roles of leadership in the planning, execution, and evaluation of performance improvement initiatives

5.28

Articulation of

Response Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

5

Earned Total 100%