Health services administration
PICOT FORM
To be completed by students and submitted during the HSA5923 Health Services Administration Master Degree Capstone class assignment 1.
Student information
1. What is the practice issue (foreground?)
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2. What is the practice area?
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Administration: Yes ___ No___
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Clinical: Yes ___ No___
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Educational administration: Yes ___ No _____
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Informatics: Yes ___ No ___
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Policy: Yes ___ No ___
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Organization philosophy or mission and vision statement of the institution:
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3. How was the practice issue identified? (check all that apply)
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Quality and safety/risk management: Yes ___ No ____
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Significant financial concerns: Yes ____ No _____
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Procedural or process issue: Yes ____ No ____
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Unsatisfactory patient outcomes: Yes ____ No ______
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Different between hospital and community practice: Yes _____ No _____
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Other (define in space below): Yes ____ No _____
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Wide variation in practice: Yes _____ No _____
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Clinical practice issue: Yes ____ No _____
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4. How will the project align (Support) with institution mission?
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5. How will the project help improve the organization performance? Does your project align with the site business models?
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6. What is the scope of the problem?
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Family: Yes ___ No ___
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Individual: Yes ___ No ___
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Institution/system: Yes ___ No ___
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Other (define in space below):
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7. What are the PICOT elements?
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Quantitative/ Qualitative (PICOT)
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Population:
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Intervention:
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Comparison:
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Outcome:
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Timeframe: Eight-week period ( One semester) |
8. What evidence must be gathered? (check all that apply)
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Integrative Literature review: Yes ____ No ___
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Guidelines: Yes ___ No ___
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Clinical Expertise: Yes ___ No ___
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Systematic Literature review: Yes ____ No ____
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Expert opinion: Yes ____ No ____
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Financial analysis: Yes ___ No ___
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Standards (regulatory, professional, community): Yes ___ No ___
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Patient preferences: Yes ___ No ___
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Other (define in space below): Yes ___ No ___
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The topic description, definition and literature review:
9. State the PICOT question in narrow manageable terms.
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Student’s Name:
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References
At least 7 references for the past 5 years older only.