Final

Title of Paper

Your name

HCA375– Continuous Quality Monitoring and Accreditation

Type Instructor Name Here

Type Date

HCA375 - WEEK 4 ASSIGNMENT

PART 1 – DETAIL OF THE ADVERSE EVENT CHOSEN

Refer to the instructions in the Week 4 Assignment of your online course to understand what is expected in each row. This completed template should be between eight to ten pages in length. Include APA citations within the description row where appropriate. List your references in APA format according to the Ashford Writing Center guidelines on the last page of this template.

CONTENT	DESCRIPTION
ADVERSE EVENT
HISTORICAL BACKGROUND
LEGAL & ACCREDITING AGENCY REQUIREMENTS
CQI TEAM COMMUNICATION
OPERATIONAL OR SAFETY PROCESSES
IMPACT OF THIS EVENT

WEEK 4 ASSIGNMENT

PART 2 - GRAPH THE DATA

You are tasked with graphing the data in Excel for your chosen event. The data is located in the classroom under the Week 4 Assignment Directions. Make sure to use only the data for your chosen event. The directions identify which columns of information to use depending on the chosen adverse event. Once you complete the graph in Excel, copy/paste your graph below.

Include an analysis of the data in paragraph format.

Discuss the frequency of the adverse event as compared to the increase or decrease of patient discharges.
What is the data telling you?
What possible factors in your opinion could be attributed to the change?

WEEK 4 ASSIGNMENT

PART 3 – CQI TOOL

· Choose one of the CQI Tools listed below to illustrate the use of the tool with your chosen Adverse Event.

· You will be responsible for creating the CQI Tool, completing the tool, taking a screenshot, and copying/pasting the screenshot into the space below. If you are unfamiliar with these tools, please refer to the recommended readings, specifically the article from Week 2, which is listed below. You can locate the article in the Ashford Library.

· In addition, as a learning resource, the CQI tools listed below are hyperlinked to the Institute for Health Care Improvement website, which discusses and illustrates examples of each type of tool.

Siriwardena, A. (2009). Using quality improvement methods for evaluating health care. Quality in Primary Care, 17(3), 155-159. ISSN: 1479-1072 PMID: 19622265

· Choose a CQI Tool that best suits your chosen Adverse Event from the following list.

· Fishbone (Cause and Effect) Diagram

· Flowchart

· Pareto Diagram

WEEK 4 ASSIGNMENT

PART 4 - FUTURE PREVENTION

APPLYING PDSA - Worksheet

PHASE	PHASE ACTIVITIES	EXPLANATION
PLAN	Problem Objective Team members Communication Data collected Pilot phase
DO	Three possible solutions One solution to implement Result of pilot (create own scenario) Methods of communication
STUDY	Summarize data Observations and problems Comparison of pilot plan to pilot results Revisions needed to meet objective
ACT	Revised improvement plan How to Implement the plan hospital wide Plan for monitoring the improvement plan Checks and balance

References

Excluding your textbook or course readings include at least four scholarly sources in addition to the course text. The sources should be peer-reviewed sources; that were published within the past five years. All references must be cited within the rows where the referenced material was used to support your ideas. The citations and references must be in APA format per the 6th edition guidelines, which can be found at the Ashford Writing Center .

These examples are correctly-formatted references. Note that they are in alphabetical order. You may NOT use these examples as your sources.