High-level quality improvement initiative for executive leaders and

Propose a high-level quality improvement initiative for a selected departmental strategic priority, and choose an effective method of presenting your proposal to executive leaders and other stakeholders in the organization and community.

Introduction

Quality improvement and management in health care has its roots in the business world and the teachings of quality gurus such as W. Edwards Deming, Joseph Juran, Phillip B. Crosby, and Avedis Donabedian. As health care costs rose in the late 1960s, payers wanted assurance that their investments resulted in improved health. More importantly, patients and health care professionals wanted assurance that their participation resulted in safe, effective care with positive long-term benefits.

As 21st century health care organizations strive for high reliability, executive leadership is tasked with keeping the organization focused on quality and safety. In the previous assessments, you identified an organization’s strategic priorities and provided a comprehensive assessment of stakeholder and leadership influence. High-reliability organizations align quality and safety with strategic goals. Your work in previous assessments will help you identify one strategic priority for improvement.

From the nursing unit level to the executive office, quality equates with attention to the processes and functions that drive and support safety, efficiency, effectiveness, and satisfaction. The DNP-prepared nurse is in a unique position to blend knowledge of systems theory with an understanding of quality management. Added to this mixture is the DNP-prepared nurse’s exquisite appreciation for the holistic needs of individuals and groups.

This assessment provides an opportunity for you to propose a quality improvement initiative that supports a departmental strategic priority.

Preparation

Choose one strategic priority from the departmental strategic plan you developed in Assessment 3 as the focus of a proposed quality improvement initiative. 

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

Instructions

Develop a presentation of your proposed high-level quality improvement initiative for executive leaders and other stakeholders in the organization and community.

Be creative in showcasing your proposal. Choose a presentation method you consider to be both engaging and likely to garner the necessary support and buy-in. For example, you might consider any of the following methods, or something different.

· Marketing brochure prefer method

· Newsletter.

· Video.

· Audio or video slide presentation.

· Executive summary.

Whichever method you choose, consider the information needs of your intended audience, their communication preferences, and possible time constraints on processing your proposal.

Video Recording

If you choose video as your preferred presentation method, Kaltura is the recommended tool for video recording. Refer to 

Using Kaltura
 for more information about this courseroom tool. You are also free to use any other technology of your choice (such as a video camera or smart phone) to record your video; however, please inform the faculty facilitator of your decision not to use Kaltura to avoid potential technical problems associated with file formats.

To record your video, you will need a built-in or external microphone and/or video camera (webcam or other device). Check that your recording equipment and software is working properly and that you know how to record and submit your video. Be sure to set up and test your equipment ahead of time.

Note: If you use assistive technology or any alternative communication methods to access course content, please contact 

[email protected]
 with any access-related questions or to request accommodations.

Evaluation

The following tasks correspond to the grading criteria in the scoring guide, so be sure to address each point in the presentation of your proposed quality improvement initiative. Read the performance-level descriptions for each criterion to see how your work will be assessed.

· Explain the rationale for establishing a strategic priority.

. Describe the overarching aim and focus of your proposed quality improvement initiative.

. Use the evidence-based literature to provide broad rationale for establishing this priority.

· Present the key points from a SWOT analysis of a chosen strategic priority.

. Consider the organization’s political landscape and strategic priorities.

· Identify key performance indicators for measuring the success of a quality improvement initiative.

. For example: infection rates, customer satisfaction, financial performance indicators, productivity, nurse satisfaction, or other internal metric.

. These indicators could align with those identified on the departmental balanced scorecard.

· Explain the value of stakeholder feedback and the process for collaborating with stakeholders on the proposed quality improvement initiative.

. Identify key stakeholders and explain why their support for this initiative is crucial to its success.

. Explain how you will leverage stakeholder feedback.

· Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.

· Make policy recommendations to support the proposed quality improvement initiative.

. Your recommendations could entail developing a new policy, revising a current policy, or retiring a current policy.

. Describe the policy implications of this initiative and their impact on the organization.

. Justify your recommendations.

· Communicate clearly and concisely in a form and style appropriate for the audience and for the substance, purpose, and context of the message being conveyed.

. Consider the needs of your audience.

. Be succinct and mindful of communication best practices.

. Carefully review your media and materials to avoid errors that could distract the audience and make it more difficult for them to focus on the substance of your proposed initiative.

Portfolio Prompt: You are encouraged to save your quality improvement proposal presentation to your 
ePortfolio.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 3: Propose a strategic plan that integrates feedback from other disciplines and aligns with organizational priorities.

. Explain the rationale for establishing a strategic priority.

. Present the key points from a SWOT analysis of a chosen strategic priority.

. Identify key performance indicators for measuring the success of a quality improvement initiative.

. Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative.

. Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative.

· Competency 4: Recommend policy changes that support a strategic plan.

. Make policy recommendations to support a proposed quality improvement initiative.

· Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.

. Communicate clearly and concisely in a form and style appropriate for the audience and the substance, purpose, and context of the message being conveyed.

RUBRICS

1, Explain the rationale for establishing a strategic priority. Provides a concise and articulate explanation of the rationale for establishing a strategic priority. The rationale is well supported in the evidence-based literature and reflective of keen insight into the logical implications and consequences of the stated priority.

2, Present the key points from a SWOT analysis of a chosen strategic priority. Presents the key points from a SWOT analysis of a chosen strategic priority. Key points indicate a perceptive analysis that reflects awareness and due consideration of organizational politics and strategic goals,

3, Identify key performance indicators for measuring the success of a quality improvement initiative. Identifies precise key performance indicators, clearly aligned with strategic priorities, for measuring the success of a quality improvement initiative.

4, Explain the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative. Provides a concise, articulate explanation of the value of stakeholder feedback and the process for collaborating with stakeholders on a proposed quality improvement initiative. Presents an effective strategy for collaborating and draws well-reasoned conclusions about the value of stakeholder support

5, Explain how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative. Explains how one contemporary change theory could be used to facilitate changes inherent in implementing a quality improvement initiative. Applies an insightful interpretation of applicable theory to best practices in change leadership.

6, Make policy recommendations to support a proposed quality improvement initiative. Makes astute policy recommendations to support a proposed quality improvement initiative. Identifies significant and relevant policy implications and provides compelling justification for policy changes.

7, Communicate clearly and concisely in a form and style appropriate for the audience and the substance, purpose, and context of the message being conveyed. Communicates clearly and concisely in a form and style appropriate for the audience and for the substance, purpose, and context of the message being conveyed. Content, form, and style are congruous, engaging, and facilitate audience comprehension. Adheres to all applicable professional, disciplinary, and scholarly communication and design standards.

PLS FELLOW THE RUBRICS