The Essentials , published by the American Association of Colleges of Nursing, dictate that graduates of MSN and DNP programs have certain skills, including organizational and systems leadership, the ability to translate evidence into practice, and the ability to function on a multidisciplinary team to improve client outcomes.
Spearheading a quality improvement project requires each of the above skills. By this level, students are usually comfortable navigating evidence, but have not yet managed the business components of leading a quality improvement project. Healthcare is, in fact, a business, and to continue to positively affect client outcomes, the care provided must be sustainable financially.
For this assignment you will be presenting on a problem in the institution where you work or at an institution where you are precepting or plan to work. Ultimately, this assignment builds a case for why change is needed and why administration should accept your proposed solution. It needs to be well researched and thorough. The following steps outline what you need to include in your presentation. Additional questions are welcome and should be posted in the Course Q&A.
Step 1:Approval. Receive approval on your topic from your primary faculty. A business case that is submitted without prior approval will receive a 10% deduction. Your faculty are here to help you identify ideas that will be successful. See Business Case Topic Selection Discussion for further instructions.
Step 2:Introduction. Introduce your business case idea. Briefly state the purpose of the project and its relevance. Identify the organization’s mission and/or vision statements. Describe how your project is in alignment with the organization’s priorities.
Step 3:Problem Identification. Describe the opportunity for improvement or the patient care problem that needs to be solved in more detail. Discuss the identified causes of this problem (eg, staffing, inefficient processes, suboptimal equipment or policies) and the
impact of this problem on your organization, staff, and clients (eg, suboptimal outcomes, wasted materials, prolonged stays or readmissions , burnout). Conclude this section with organizational-specific data that supports the existence and impact of the problem. This must include an estimated incidence and cost of the problem. Other relevant monetary figures, percentages, and statistics should be included as appropriate.
Step 4: Evidence-Based Solution. Identify your chosen evidence-based solution to the above problem. Describe how it solves the identified problem, and summarize current (last 5 years) research data supporting the effectiveness of this solution for your problem. This may include information from research studies, clinical practice guidelines, and peer-reviewed articles. Conclude this section by applying figures from the evidence to the incidence and cost that were identified in the previous section and calculating:
- how much can this solution reduce the incidence of the problem.
- how much money could be saved as a result.
Step 5:Market Analysis. Present a completed SWOT analysis and discuss the relevant findings. You may format this as you see fit. Each component must be included and addressed.
See the required resource on completing a SWOT analysis for a healthcare
organization. This resource poses questions that help you identify the strengths, weaknesses, opportunities, and threats affecting your project. You know your organization better than anyone; don’t be afraid to think outside the box.
Step 6:Implementation Planning. Present a completed work breakdown structure (WBS)
diagram that addresses each of the following:
- What tasks need to be done?
- Who is responsible for the above tasks?
- How long will each task take to complete?
- What material, supplies, and equipment are needed?
Present tasks in sequential order and consider the steps needed from approval to complete implementation (“go live”). Consider the need for project teams, committees, interdisciplinary work, policy creation/revision, physical space and materials, technology, and staff education, for example. Discuss the details of your WBS. Levels I through III should be addressed in your diagram. See instructional video.
Step 7: Budget Planning. Present a completed budget table with line items that address each of the following:
- name of expense
- cost for each unit
- total number of units needed
- total cost for each expense
Your WBS will give you what you need to complete this well if it is also completed well. Your budget consists of the labor and physical costs of the tasks and subtasks identified in your WBS. Examples include the cost to educate staff, the time of your implementation team, care and technology equipment, salaries and recruitment costs if hiring staff, physical space, etc., as applicable.
Use real figures. Articles, organizational employees, and web searches may be needed. The table should be organized so that it is easy to see how you arrived at the figures. Place the total cost of the project at the bottom of the table. Discuss the development of your budget.
Step 8: Evaluation. A evaluation plan must be created to measure success. The evaluation has to address both quality measures (patient outcomes) and financial measures (return on investment).
A. Quality Measures. Identify and discuss the (a) outcome, (b) process, and (c) structure measures of your project. First, identify the outcome measures (goals/ benchmarks/metrics) that you intend to achieve. Then identify your goals for process measures (or what observations in care delivery would signify staff compliance with your plans). Lastly, identify the structure measures that promote the success of your project and any weaknesses in structure that need to be addressed. Clearly discuss which measures you consider to be your outcome, process, and structure measures. Outcome and process measures must be measurable. Review your Required Resources for further assistance.
B. Return on Investment (ROI). Using a one (1) year time frame, demonstrate how your project is cost saving or revenue generating by calculating an ROI. Use the incidence and cost figures from Steps 3 and 4 and the total cost to implement your project from your budget in Step 7 to fill in the ROI formula. Explain your work by briefly comparing the cost of the current situation to the the cost of the new plan, how much money would be gained or saved by implementing your plan, and how or where those cost will be recouped (eg, decreased length of stay). See ROI assistance in Required Resources.
Step 9:Dissemination. The last step in the QI process is not just evaluating your results but sharing your project, experience, and results with others. Discuss the importance of disseminating QI results. Outline the dissemination plans for your project by identifying
- the purpose of your dissemination, (b) the message that will be at the center of your dissemination, (c) the audience you will be presenting this to, (d) the method of dissemination, and (e) when this would best take place and why.
Step 10: Peer Response. Receiving feedback on your project is an important part of assessing rigor, applicability, and impact. Create a voice response to at least one (1) classmate’s presentation.
- The presentation should not exceed 15 slides and 20 minutes in duration.
- There should be a title and reference slide. References should be in APA format. These two slides are excluded from your limit.
- The assignment should have a minimum of 10 scholarly references. References should be timely: published within the previous five (5) years.
- Technical assistance is provided in the course.
- See Do’s and Dont’s of presenting a PowerPoint in the course.
Submission Instructions: This assignment is to be submitted as a video presentation to the designated discussion space and should include your PowerPoint slides and your voice. There is no Turnitin requirement for this assignment, although faculty reserve the right to submit your presentation to Turnitin on your behalf if plagiarism is suspected. Presentations that are not viewable at the time of grading may be subject to the appropriate late deduction.
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