Data analysis and quality improvement initiative proposal
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In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have two options:
Option 1
If you have access to dashboard metrics related to a QI initiative proposal of interest to you:
- Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
- You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Option 2
If you do not have access to a dashboard or metrics related to a QI initiative proposal:
- You may use the hospital data set provided in the Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
- You will follow the same instructions and provide the same deliverables as your peers who select Option 1.
Complete the following steps for your proposal:
- Analyze data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
- Evaluate the quality of the data.
- Outline a QI initiative proposal based on the selected health issue or area of concern and supporting data analysis to improve identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of a QI process and your assessment.
- Identify the target areas of improvement and outcome measures.
- Include the QI model that will be utilized.
- Specify evidence-based strategies that will be utilized.
- Integrate interprofessional perspectives and actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
- Specify roles and responsibilities.
- Apply effective collaboration strategies to promote QI of interprofessional care.
- Include specific communication tools.
- Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
Be sure that your proposal, at minimum, addresses each of the bullet points. You may also want to read the Data Analysis and Quality Improvement Initiative Proposal Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX] Download Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX]document for additional clarification about things to consider when creating your assessment.
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Guiding Questions
Data Analysis and Quality Improvement Initiative Proposal
This document is designed to give you questions to consider and additional guidance to help you successfully complete the Data Analysis and Quality Improvement Initiative Proposal assessment. You may find it useful to use this document as a prewriting exercise, an outlining tool, or a final check to ensure you have sufficiently addressed all the grading criteria for this assessment. This document is a resource to help you complete the assessment.
Do not turn in this document as your assessment submission.
Analyze data to identify a health care issue or an area of concern.
· What data does your institution gather? (Or, what data were provided in the media piece?)
· What is the quality of the data, and what can be learned from it? What does it tell you? What is missing?
· What is an organized way of looking at different data outputs?
· What metrics indicate opportunities for quality improvement?
· What are the trends? (Existence of data does not necessarily equate to a trend.)
· What are the outcome measures? What information do you need to calculate specific rates?
· Assess the stability of processes or outcomes. Are the outcomes fairly predictable? Identify any problematic variations or performance failures.
· Include the selected data set that was analyzed in the proposal. This could be a table or chart.
Outline a quality improvement initiative proposal based on a selected health issue or area of concern and supporting data analysis.
· What benchmarks align to existing quality improvement initiatives set by local, state, or federal health care policies or laws?
· What quality initiatives currently exist (if any) related to the selected issue? Why are they insufficient?
· Identify target areas for improvement.
· Define what processes can be modified to improve outcomes. You may find it helpful to review models for quality improvement initiatives in Week 4.
· Identify evidence-based strategies to improve quality.
· Evaluate quality improvement initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
· Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
· Define interprofessional roles and responsibilities as they relate to the data and the quality improvement initiative.
· How would you make sure that all relevant roles are fully engaged in this effort?
· What non-nursing concepts would you incorporate into the initiative?
· How would outcomes to measure the effect of the intervention affect the interprofessional team?
· Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. How is work-life quality improved or enriched by the initiative?
Apply effective communication strategies to promote quality improvement of interprofessional care.
· What kind of interprofessional communication strategies will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative?
· What types of communications would you recommend in addition to writing?
· Are there any communication models (CUS, SBAR) you would include in your initiative proposal?
Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
· Is your analysis logically structured?
· Is your analysis 7–10 PowerPoint slides, with speaker notes (not including title slide and attached reference list)?
· Is your writing clear and free from errors?
· Did you use a minimum of five sources? Were they published within the last five years?
· Are they cited in current APA format throughout the plan?
· Have you included an attached reference list?
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12/21/23, 10:10 AM Assessment 3 Instructions: NURS-FPX6016 – Fall 2023 – Section 14
https://courseroom.capella.edu/courses/8556/pages/assessment-3-instructions?module_item_id=459162 1/5
Assessment 3
Data Analysis and Quality Improvement Initiative Proposal
Instructions
Make a quality initiative proposal (7–10 PowerPoint slides) through a presentation,
interpreting and communicating dashboard data to support the proposal.
Collapse All
Introduction
Health care providers are perpetually striving to improve care quality and
patient safety. To accomplish enhanced care, outcomes need to be
measured. Next, data measures must be validated. Measurement and
validation of information support performance improvement. Health care
providers must focus attention on evidence-based best practices to
improve patient outcomes.
Health informatics, along with new and improved technologies and
procedures, are at the core of all quality improvement initiatives. Data
analysis begins with provider documentation, researched process
improvement models, and recognized quality benchmarks. All of these
items work together to improve patient outcomes. Professional nurses
must be able to interpret and communicate dashboard information that
Overview
A basic principle of quality measurement is: If you can’t measure it, you
can’t improve it.
–Agency for Healthcare Research and Quality (2021)
In the previous assessment, you analyzed the effectiveness of an
existing quality initiative. Now that you’ve done that, this assessment
12/21/23, 10:10 AM Assessment 3 Instructions: NURS-FPX6016 – Fall 2023 – Section 14
https://courseroom.capella.edu/courses/8556/pages/assessment-3-instructions?module_item_id=459162 2/5
gives you experience interpreting and communicating dashboard data for
the purpose of making a quality initiative proposal of your own. And you’ll
make your proposal through a PowerPoint presentation, including using
speaker notes in the Notes section of the slides, much like you might in
your health care setting.
Health care providers are on an endless quest to improve both care
quality and patient safety. This unwavering commitment requires
hospitals and care givers to increase their attention and adherence to
treatment protocols to improve patient outcomes. Health informatics,
along with new and improved technologies and procedures, are at the
core of virtually all QI initiatives. The data gathered by providers, along
with process improvement models and recognized quality benchmarks,
are all part of a collaborative continuing effort As such it is essential
Instructions
In this assessment, you will make a QI initiative proposal based on a
health issue of professional interest to you. This proposal will be based
on an analysis of dashboard metrics from a health care facility. You have
two options:
Option 1
If you have access to dashboard metrics related to a QI initiative
proposal of interest to you:
Analyze data from the health care facility to identify a health care
issue or an area of concern. You will need access to reports and data
related to care quality and patient safety. If you work in a hospital
setting, contact the quality management department to obtain the
data you need.
You will need to identify basic information about the health care
setting, size, and specific type of care delivery related to the topic
that you identify. You are expected to abide by standards for
compliance with the Health Insurance Portability and
Accountability Act (HIPAA).
Option 2
If you do not have access to a dashboard or metrics related to a QI
initiative proposal:
12/21/23, 10:10 AM Assessment 3 Instructions: NURS-FPX6016 – Fall 2023 – Section 14
https://courseroom.capella.edu/courses/8556/pages/assessment-3-instructions?module_item_id=459162 3/5
You may use the hospital data set provided in the Vila Health: Data
Analysis
(https://media.capella.edu/CourseMedia/nurs6016element238713/wrapp
er.asp) media piece to identify a health care issue or an area of
concern.
You will follow the same instructions and provide the same
deliverables as your peers who select Option 1.
Complete the following steps for your proposal:
Analyze data to identify a health care issue or an area of concern as
it relates to a state, national, or accreditation benchmark requirement
relevant to your professional setting.
Evaluate the quality of the data.
Outline a QI initiative proposal based on the selected health issue or
area of concern and supporting data analysis to improve identified
dashboard metric. The interactive activity Designing a Quality
Improvement Initiative can get you going on the first steps of a QI
process and your assessment.
Identify the target areas of improvement and outcome measures.
Include the QI model that will be utilized.
Specify evidence-based strategies that will be utilized.
Integrate interprofessional perspectives and actions to lead quality
improvements in patient safety, cost-effectiveness, and work-life
quality.
Specify roles and responsibilities.
Apply effective collaboration strategies to promote QI of
interprofessional care.
Include specific communication tools.
Deliver a persuasive, coherent, and effective audiovisual
presentation. Integrate relevant sources to support arguments,
correctly formatting citations and references using current APA style.
Be sure that your proposal, at minimum, addresses each of the bullet
points. You may also want to read the Data Analysis and Quality
Improvement Initiative Proposal Scoring Guide to better understand the
performance levels that relate to each grading criterion. Additionally, be
sure to review the Guiding Questions: Data Analysis and Quality
Improvement Initiative Proposal [DOCX]
(https://courseroom.capella.edu/courses/8556/files/1267919/download?
wrap=1)
(https://courseroom.capella.edu/courses/8556/files/1267919/download?
12/21/23, 10:10 AM Assessment 3 Instructions: NURS-FPX6016 – Fall 2023 – Section 14
https://courseroom.capella.edu/courses/8556/pages/assessment-3-instructions?module_item_id=459162 4/5
download_frd=1) document for additional clarification about things to
consider when creating your assessment.
Recording Your Presentation
Before starting to record your presentation make sure you have:
Additional Requirements
Your assessment should also meet the following requirements:
Length of submission: 7–10 PowerPoint slides, with speaker’s
notes, not including title slide and attached reference list. Balance
text with visuals. Avoid text-heavy slides. Use speaker’s notes for
additional content.
Length of presentation: No more than 10 minutes.
Number of references: Cite a minimum of five sources (no older
than seven years, unless a seminal work) of scholarly or professional
evidence to support your evaluation, recommendations, and plans.
Review the Nursing Master’s Program (MSN) Library Guide for
guidance.
APA formatting: Resources and citations are formatted according to
Competencies Measured
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and scoring guide
criteria:
Competency 2: Plan quality improvement initiatives in response to
routine data surveillance.
Analyze data to identify a health care issue or area of concern as
it relates to a state, national, or accreditation benchmark
requirement.
Outline a quality improvement initiative proposal based on a
selected health care issue or area of concern and supporting data
analysis to improve identified dashboard metrics.
Competency 4: Integrate interprofessional perspectives to lead
quality improvements in patient safety, cost-effectiveness, and work-
life quality.
12/21/23, 10:10 AM Assessment 3 Instructions: NURS-FPX6016 – Fall 2023 – Section 14
https://courseroom.capella.edu/courses/8556/pages/assessment-3-instructions?module_item_id=459162 5/5
Integrate interprofessional perspectives and specify actions to
lead quality improvements in patient safety, cost-effectiveness,
and work-life quality.
Competency 5: Apply effective communication strategies to promote
quality improvement of interprofessional care.
Apply effective collaboration strategies to promote quality
improvement of interprofessional care.
Create a persuasive, coherent, and effective audiovisual
presentation. Integrate relevant sources to support arguments,
correctly formatting citations and references using current APA
Scoring Guide
Use the scoring guide to understand how your assessment will be
evaluated.
View Scoring Guide
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