improvement

© 2021 Walden University 1

OM006: Process Improvement and Quality: Make recommendations to improve quality in healthcare organizations based on analyses of current processes.

Assessment Rubric

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations Process Review Presentation

1. Opportunities for Improvement

Learning Objective 1.1:

Identify opportunities for process improvement and cost reduction in an emergency department.

Presentation does not identify or identifies fewer than five opportunities for process improvement and cost reduction in the emergency department, or the opportunities are not relevant to the case presented. An explanation is not given for how each opportunity relates to national benchmark rates. Response is not supported by references to academic/professional resources or the resources are not relevant.

Presentation clearly identifies three to five opportunities for process improvement and cost reduction in the emergency department in the case presented. An explanation is given for how each opportunity relates to national benchmark rates. Response is supported by references to relevant academic/professional resources.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation clearly identifies more than five obtainable opportunities for process improvement and cost reduction in the emergency department.

Learning Objective 1.2

Quantify the size of process improvement and cost- reduction opportunities

Presentation does not quantify or vaguely and/or inaccurately quantifies the size of three process improvement and three cost- reduction opportunities, or fewer than three waste- and/or fewer than three cost- reduction opportunities are addressed.

Presentation clearly and accurately quantifies the size of three to five process improvement and three cost- reduction opportunities.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation quantifies the cumulative effect of this

© 2021 Walden University 2

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations A combination of text and graphics/charts is not used to convey the size of waste- and cost- reduction opportunities. Presentation does not describe the impact that amount of waste has on the emergency department and on quality in the case presented, or the description is vague.

A combination of text and graphics/charts is used to convey the size of waste- and cost-reduction opportunities. Presentation clearly describes the impact that amount of waste has on the emergency department and on quality in the case presented.

amount of waste continuing over time.

Learning Objective 1.3

Describe the impact of process and cost inefficiencies on an emergency department and on quality.

Presentation does not describe or describes fewer than three ways in which process and cost inefficiencies impact the emergency department and quality in the case presented, or the impact described is not clearly related to the inefficiency. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

Presentation describes three ways in which process and cost inefficiencies impact the emergency department and quality in the case presented. Presentation is supported by references to relevant academic/professional resources.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation includes more than three details or the addition of return on investment, cost of implementation, or cost of defect prevention.

2. Stretch Goals

Learning Objective 2.1:

Presentation does not recommend stretch goals, states fewer than three stretch goals, or states three stretch goals but they are not

Presentation clearly recommends three to five realistic and measurable stretch goals, one for each of

Presentation demonstrates the same level of achievement as “Meets,” plus the following:

© 2021 Walden University 3

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations Recommend stretch goals for process and quality improvement, and for risk and cost reduction.

realistic or not aligned to the process improvement or cost-reduction opportunities identified in the case presented. Presentation vaguely explains the research and analysis used to develop the goals, or the explanation is missing. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

the process improvement and cost-reduction opportunities identified in the case presented. Presentation clearly explains the research and analysis used to develop the goals. Presentation is supported by references to relevant academic/professional resources.

Presentation includes more than five realistic and measurable goals, which leverages multiple opportunity areas. Or presentation describes how at least two staff members will be involved in achieving the three goals.

Learning Objective 2.2: Create a chart demonstrating how goals improve processes and quality and reduce costs.

Chart is missing or chart does not address all goals and/or it does not clearly detail improvements of processes and quality and/or reductions in cost relative to the case presented.

Chart clearly details how and when each stretch goal will improve processes and quality, and lower costs for the case presented.

Chart demonstrates the same level of achievement as “Meets,” plus the following: Summary chart shows more than five goals. Or summary chart shows how the stretch goals align to national averages and includes expected trends over a 5-year period.

Learning Objective 2.3:

Presentation does not describe or describes a method to measure achievement of each of the stretch

Presentation describes an effective method to measure progress and achievement of

Presentation demonstrates the same level of

© 2021 Walden University 4

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations Determine methods of measuring progress and achievement of stretch goals that target process and quality improvement.

goals, but the method of measurement is not aligned to the goals, or methods of measurement are not given for all goals. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

each of the stretch goals identified. Presentation is supported by references to relevant academic/professional resources.

achievement as “Meets,” plus the following: Presentation includes a method of measurement of achievement of more than five clear and measurable goals, which leverages multiple opportunity areas.

3. Continuum of Care

Learning Objective 3.1: Analyze opportunities to improve the continuum of care, eliminate redundancy, and decrease quality risks.

Presentation does not identify or identifies fewer than three, or identifies three opportunities that, some or all of which, do not relate to the continuum of care, the elimination of redundancy, and reduction of quality risks. Presentation’s rationale for targeting each of the three areas is not logical, or the rationale is missing. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

Presentation identifies one opportunity to improve the continuum of care, one opportunity to decrease quality risk, and one opportunity to eliminate redundancy in the case presented. Presentation offers a logical rationale for targeting each of the three areas. Presentation is supported by references to relevant academic/professional resources.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation identifies an additional opportunity to improve the continuum of care, decrease quality risk, or eliminate redundancy in the case presented, and includes a logical rationale for targeting this area.

Learning Objective 3.2:

Presentation does not include or includes recommendations that are

Presentation clearly states three recommendations for

Presentation demonstrates the same level of

© 2021 Walden University 5

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations Recommend methods for improving the continuum of care, decreasing quality risks, and eliminating redundancy in specific healthcare context.

not aligned to the areas of opportunity identified in the case presented and/or fewer than three recommendations are made. Presentation does not explain the desired results of the recommendations in quantifiable terms, or the terms are vague and/or not supported by references to relevant academic/professional resources.

the case presented—one for each of the areas or opportunity identified for improving the continuum of care, eliminating redundancy, and decreasing quality risks. Presentation explains the desired results of the recommendations in quantifiable terms and is supported by references to relevant academic/professional resources.

achievement as “Meets,” plus the following: Presentation includes more than three recommendations.

4. Culture of Accountability and Quality Excellence

Learning Objective 4.1: Define a culture of accountability and quality excellence.

Presentation does not provide or provides an unclear or incomplete definition of a culture of accountability and quality excellence. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

Presentation clearly and accurately defines a culture of accountability and quality excellence. Presentation is supported by references to relevant academic/professional resources.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: The definition is accompanied by a brief scenario that exemplifies various aspects of a culture of accountability.

Learning Objective 4.2:

Presentation does not explain or vaguely or inaccurately explains why a culture of accountability and

Presentation clearly and accurately explains why a culture of accountability and

Presentation demonstrates the same level of

© 2021 Walden University 6

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations Explain why a culture of accountability and quality excellence will lead to an improved patient experience and an improved work environment.

quality excellence will lead to an improved patient experience and an improved work environment in the case presented, and/or the explanation does not relate to the case presented. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

quality excellence will lead to an improved patient experience and an improved work environment in the case presented. Presentation is supported by references to relevant academic/professional resources.

achievement as “Meets,” plus the following: Presentation explains one or two scenario-based examples that illustrate the points presented.

Learning Objective 4.3 Recommend ways leadership teams can foster a culture of accountability and quality excellence.

Presentation does not include recommendations or recommendations are unclear or are not aligned with fostering a culture of accountability and quality excellence, or do not relate to the case presented. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

Presentation includes three clear recommendations for how the healthcare leaders in the case presented can foster a culture of accountability and quality excellence. Presentation is supported by references to relevant academic/professional resources.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation includes more than three recommendations.

Learning Objective 4.4 Describe the challenges of fostering a culture of accountability

Presentation does not describe or vaguely describes three challenges of fostering a culture of accountability and excellence in the context of the case presented, or

Presentation clearly describes three challenges of fostering a culture of accountability and excellence in the context of the case presented.

Presentation demonstrates the same level of achievement as “Meets,” plus the following: Presentation provides suggestions for

© 2021 Walden University 7

Rubric Criteria

Needs Improvement

Meets Expectations

Exceeds Expectations and excellence in healthcare environments.

fewer than three challenges are described. Presentation is not supported by academic/professional resources and/or the resources are not relevant.

Presentation is supported by references to relevant academic/professional resources.

overcoming the challenges.