PW

Please insert your project objectives from DNP Project I here.

OBJECTIVES

1.

2.

3.

Section I

Contextual elements considered important at the outset of introducing the interventions. (Note: You will use this outline to complete your section 1 project proposal for DNP Project II)

SQUIRE Criteria

Please outline project plan details

Context

Project setting

· Practice type

· Practice location

· Practice size

· Use of EHR

· Primary Care Clinic

· California

· 10

· EPIC

Population of Interest

· Direct population of interest (generally staff that will be educated or similar)

· Indirect population of interest (usually the patient population you hope to indirectly impact)

· Nurse, FNP, and medical assistants

· Geriatrics

Stakeholders

· Permission to complete project at site

· Affiliation agreements if necessary

· Identification of key stakeholders and their role in the DNP Project

· Yes

Section II

Description of the intervention(s) in sufficient detail that others could reproduce it.

Specifics of teams involved in the work.

Review your project objectives for this section. What tools do you need to accomplish your project objectives?

.

SQUIRE Criteria

Please outline project plan details

Interventions

Interventions

· Describe planned interventions in sufficient detail that it could be reproduced. (Use the timeline and write a few sentences to briefly describe your approach to your QI project. The full timeline doesn’t need to be included in the paper but your general plan for intervention should be. (Note, data collection and analysis will be done during section 3)

·

Tools

Describe each tool that will be necessary for achieving your objectives and carrying out interventions of the QI project. Include the following information:

· Who will develop the tool (will you use an existing/established tool or develop your own)?

· 2) How will the tool be validated (was it validated by a previous study or will you seek expert consultation through stakeholders and the project team)?

· 3) If using an established tool, do you need to seek permission to use the tool? From who?

Note that very project will have different tools. Examples are provided below.

· Protocol/Policy

· Pre-Post Education Test/Questionnaires

· Educational Presentation/handouts

· Published Tools (Obtain Permission)

· Chart Audit Tool

·

Appendices

All tools need to be completed and placed in the appendices by the final due date for this section. Appendices should be listed in the order they appear in your paper. Use this section to plan out the order that you will list your appendices in your paper.

Additional appendices that should be included:

· Permission to complete project at the site

· IRB materials where applicable from the project site

· IRB determination form for TUN

· Graphic of any models/theories/frameworks being used in the project (where appropriate)

·

Section III

Approach chosen for assessing the impact of the intervention (s)

Approach used to establish whether observed outcomes were due to the intervention (s)

SQUIRE Criteria

Please outline project plan details

Study of Interventions/ Data Collection

Procedure for collecting data and plans for maintaining confidentiality during this process.

Common data collection approaches to consider:

· Chart review done using specific ICD codes at pre-implementation and then 5 weeks post implementation to evaluate outcomes and/or compliance

· Participant surveys before and after implementation or pre-implementation and then 5 weeks post implementation.

·

Ethics/ Human Subjects Protection

Explain how you will conduct ethical and confidential implementation.

· Discuss IRB process- note TUN doesn’t require IRB for QI projects- in week 10, you will submit an IRB determination form to demonstrate you have a QI project.

· Does your project site require IRB or QI Committee oversight? If so, define IRB process for the site.

· Benefits/Risks for participants

· Compensation for participants

· Recruitment methods (how will you get people to your training?)

·

Measures/Plan for Analysis

· Appropriate statistical analysis tests chosen and decision justified.

· Discussion of assumptions to be addressed and specific process for analysis included

· Will you hire a statistician at the site to complete your analysis?

· (Note, in week 3 you will complete a statistics worksheet and submit to a TUN statistician and they will approve or redirect your plan for statistical analysis)

·

Introduction

Project Site

Project Mentor

Project Purpose

Project Question

Project Timeline

The purpose of this timeline is to keep you and the project team on track during the implementation phase which will occur in DNP Project III. Intervention or project timeline should be clearly described. Time to carry out implementation, collect data, and evaluate the project should be clearly delineated. Please plan out the activities you will be performing each week during the implementation phase. Please set actual concrete dates for any training, interventions, data collection, and/or data analysis.

Week 1

Dates: (please obtain from course announcements. Week 1 should correlate with the first week of DNP Project III unless special permission is granted to implement early.)

·

Week 2

(Dates)

·

Week 3

(Dates)

·

Week 4

(Dates)

·

Week 5

(Dates)

·

Weekly Summary

Clearly and succinctly summarizes project status and discussion includes any updates to the project timeline.

DO NOT COMPLETE THIS NOW- SAVE THIS FOR DNP PROJECT III

Week 1

Week 2

Week 3

Week 4

Week 5