NRS 451 Write an Executive Summary (750-1,000 words) to Present to the Board, from Which the Board will make its Decision to Fund your Program or Project
NRS 451 Write an Executive Summary (750-1,000 words) to Present to the Board, from Which the Board will make its Decision to Fund your Program or Project
NRS 451 Write an Executive Summary (750-1,000 words) to Present to the Board, from Which the Board will make its Decision to Fund your Program or Project
There is quite a range of topics on improving patient safety that I have thought about writing. However, I have decided on addressing handwashing among patients admitted in care facilities. The reasons why I chose this heading is due to the frequent adverse events related to healthcare-associated infections (HAIs) among hospitalized patients. I have also realized that there are several infection prevention and control (IPC) strategies in hospitals but most of such practices give preference to healthcare providers as opposed to patients who are the recipient of medical intervention (Pittet et al., 2017). Attention has been on the effectiveness of handwashing practices that guarantee safety to patients. Even though hand hygiene has been widely promoted across the world, specific concerns still remain on the best practices that ensure optimal protection to patients. The challenges of proper hand washing in healthcare system among patients are unexpected but continue to suffice. In my visit to one of the public hospitals in Los Angeles, I realized that effective handwashing techniques are not followed by the patients to the latter. This is due to the unreliable supply of liquid soap and alcohol handrubs to achieve the three stages of handwashing. Besides, even when these agents are available, some patients lacked knowledge on proper techniques of handwashing as some start with alcohol handrub and ends by using the soap. This calls for an initiative by care facilities to inform patients about the handwashing protocols. The education on handwashing can be addressed during bedside services or patients sensitized during health education forums organized by the care facility.
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References
Pittet, D., Boyce, J. M., & Allegranzi, B. (Eds.). (2017). Hand hygiene: a handbook for medical professionals (Vol. 9). John Wiley & Sons.
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In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Executive Summary
The need to enhance patient and quality of care offered implores healthcare organizations and nurse leaders to implement quality improvement initiatives. Effective communication is a core aspect of reducing medical errors, hospital acquired infections (HAIs), and other adverse events like falls while enhancing inter-professional collaboration among different healthcare professionals. Ineffective communication is a core concern, especially during shift change and handover among nurses (Ruhomauly et al., 2019). Giving wrong medications to patients and other mistakes or errors arise from the inability of healthcare organizations managing the sharing of patient information and their profiles with colleagues. The purpose of this paper is to propose the use of Situation, Background, Assessment and Recommendation (SBAR) tool to enhance communication among nurses in the organization and reduce the occurrence of adverse events, including hospital acquired infections, and medication administration errors.
Purpose of the Quality Improvement Initiative
At the core of this initiative is to enhance the quality of processes and care offered to patients in the facility. Effective communication through a structured process, allows nurses and other providers to implement better approaches to care delivery, including shift changes and handover. Studies have consistently demonstrated the efficacy of SBAR tool in improving structured communication and handover times between nurses to improve the quality of care offered to patients (Coolen et al., 2020). As such, the core purpose of this quality improvement initiative is to enhance structured communication among nurses with the goal of reducing the occurrence of adverse events like medication administration errors.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
SAMPLE 2 NRS 451 Executive Summary
Many long-term care facilities are concerned about the ratings of their organizations to meet the Centers for Medicare and Medicaid Services (CMS) reimbursement criteria. CMS ratings measure the quality of long-term facility provides and plays a critical role in a possible resident’s facility selection process. These ratings are essential for a facility’s reputation and remaining competitive in the market as well as meeting patient safety needs and risk reduction and management aspects (Sandhu et al., 2018). The purpose of this executive summary is to present a quality improvement initiative for approval by the board for funding to implement the program.
Purpose of the Quality Improvement Initiative
Improving quality measures in long-term facilities or care is an imperative to get funding and reimbursement from the Centers for Medicare and Medicaid Services (CMS). Quality measures are among the three areas that CMS utilizes to determine the number of stars that a long-term facility gets from its rating program. Therefore, the purpose of this quality improvement initiative is to enhance the overall ability of the long-term facility to meet patient needs and enhance quality of care it offers to patients. Quality improvement initiatives reduce incidences of adverse patient events like falls and medication errors that can compromise safety and outcomes (McMichael et al., 2020). The proposed quality improvement initiatives entails having different measures to attain quality services for the residents. These include engaged leadership, participation of staff or providers, provision of holistic care, staff education and training, and availability of effective products.
The long-term facility must offer staff with the right medical supplies and equipment to implement best practice that lead to best health outcomes. Staff education and training enable staff to know best practices and attain competences to execute them and validate their knowledge and skills regularly. Holistic care is the basis of patient-centered and evidence-based practice (EBP) care provision as it ensures the incorporation of patient preferences and needs (Ohta & Ryu, 2021). Engaged leadership means that quality improvement and reporting on quality measures must be a priority among the executives and the senior management at the facility. The implication is that these measures will be fundamental in improving overall quality in the long-term care facility.
Target Population
The target population for this initiative include nurses, nurse managers and leaders, the physicians, and the organizational top management and executive. Nurses deal with patients or residents in the facility on a daily basis and have different experiences about outcomes and quality of care. Nurse managers and leaders are fundamental because of the different roles and responsibilities that they have among patients. The physicians are targeted since they provide interventions while the management will offer funds and allocate resources to implement the program (Ohta & Ryu, 2021). Therefore, the quality improvement initiative in this facility will target all stakeholders to have a holistic approach to the issue for better outcomes and implementation.
Benefits of the Quality Improvement Initiative
The implementation of this initiative will have critical benefits to the facility and residents. Firstly, it will enable the facility to attain CMS ratings and thus reimbursement. Secondly, the facility will achieve a sustainable competitive advantage since it will be implementing quality measures that allow it to offer best resident services to those using it. Thirdly, the initiative will lead to better participation and engagement of all stakeholders in the facility for better quality care and implementation of innovative and evidence-based practice (EBP) outcomes (Sandhu et al., 2018). The proposed project will ensure that the facility develops quality metrics with the aim of establishing a quality culture for long-term service delivery.
Inter-professional Collaboration to Implement the Initiative
Inter-professional collaboration is essential in implementing this quality improvement initiative because there are different stakeholders and healthcare professionals. The inter-professional collaboration needed to execute this initiative includes formation of a project team that will have different players and experts as well as use a team-based approach. The inter-professional team consisting of nurses, nurse leaders and managers, physicians and facility’s management will develop a common approach based on the project goals and objectives to improve quality (Wadhera et al., 2020). The team will focus on delivery of the expected services aimed at quality measures identified in the project. The team will also seek resources to execute the proposed intervention in the most effective manner.
Cost or Budget Justification
The lack of quality measures in the organization means that it cannot attain ratings based on the CMS quality metrics and be considered as one of the facilities to get resources. Implementation of the quality improvement initiative as identified in this proposal is critical to the overall ability of the organization to reduce patient safety risks and offer quality care. The overall cost of implementing this initiative may be between $10,000 to $15,000 based on the different components that it covers. Therefore, spending this amount cannot be comparable to missing on quality ratings and being part of the CMS reimbursement organizations or network. Therefore, there is a justification for the facility to spend the amount since it will enable it get better ratings by CMS.
Project Evaluation
The proposed project focuses on improving patient safety and care quality. The evaluation of the progress and efficacy of the project will entail collecting feedback data from all providers in the facility and residents on a number of metrics like response to call or alerts, expression of ideas and participation of staff and other providers, and overall quality measures and levels of engagement with leaders (Wadhera et al., 2020). The project will be successful if the facility gets improved ratings and becomes one of the best practice setting for CMS.
Conclusion
Quality improvement measures are essential for long-term facilities. The proposal advances that having sufficient resources will allow the long-term facility to attain quality care and culture. The implementation of the quality improvement initiative will lead to better ratings by CMS and enable the organization to remain competitive in the marketplace. The initiative will lead to increased deployment of inter-professional collaboration approaches to attain expected outcomes.
References
McMichael, T. M., Currie, D. W., Clark, S., Pogosjans, S., Kay, M., Schwartz, N. G., … &
Duchin, J. S. (2020). Epidemiology of COVID-19 in a long-term care facility in King County, Washington. New England Journal of Medicine, 382(21), 2005-2011.
Ohta, R., & Ryu, Y. (2021). Improvement in palliative care quality in rural nursing homes
through information and communication technology-driven inter-professional collaboration. Rural and Remote Health, 21(2).
Sandhu, S., Furniss, J., & Metzler, C. (2018). Using the new post-acute care quality measures to
demonstrate the value of occupational therapy. The American journal of occupational therapy, 72(2), 7202090010p1-7202090010p6.
Wadhera, R. K., Figueroa, J. F., Maddox, K. E. J., Rosenbaum, L. S., Kazi, D. S., & Yeh, R. W.
(2020). Quality measure development and associated spending by the Centers for Medicare & Medicaid Services. JAMA, 323(16), 1614-1616.
NRS-451 Topic 3 DQ 1
Chinese philosopher Laozi said “A leader is best when people barely know he exists; when his work is done, his aim fulfilled, they will say: we did it ourselves” (McLachlan, 2019). The fundamental principles of servant leadership include the show of empathy which is described by the ability of the leader to get down to know the team including knowing their strengths and weaknesses (Thomas, 2018). Servant leadership mostly focuses on the needs and development of others first. Employees and people feel more valued when they are under this type of leadership. People feel that they are being recognized and supported. In this type of leadership, people will help be able to trust the leader and which will have great development and benefits.
The fundamental principle of servant leadership are listening which means servant leader should be a good listener so that they can understand the problems of other team members; empathy is when a team leader should have the potential to keep himself or herself in the place of another person to understand their problems; healing is not just physical healing but assessing the team member’s requirements to maintain an emotional balance in the workplace is a mandatory principle for a servant leader; awareness where servant leaders used to be aware of all the problems which is going on around them; persuasion is when servant leaders rely heavily on persuasion and cooperation rather than authority and delegation. Servant leaders have the ability to convince others as opposed to coercing them into compliance; foresight is when servant leaders use their intuitive mind to understand the lesson from the past and the reality of the present and how they can improve in the future; stewardship use by servant leaders hold their position of the institute in the trust of the benefit of the society; commitment to the growth of people where servant leaders should play a significant role in establishing their institution in trust for the greater good of society; building community need servant leaders have believed that if you want to work effectively then you should have a good community; and conceptualization when servant leaders work effectively on a perfect plan before the starting of work they used to have the concept in their hand (Correlli, 2021).
I think Listening and commitment are important qualities of the leader which will help in interprofessional communication in providing patient care. As listening will help us to think fast and react and also helps us to note the important information about the patient which will help in treating them. Commitment is the major quality that will enable us to provide quality care and support to our peers as well as patient care.
References
Correlli, J. (2021, August 6). The 10 principles of servant leadership: Teamgantt. RSS. Retrieved from https://www.teamgantt.com/blog/servant-leadership
McLachlan, D. (2019, November 12). Lean CX – A Leadership Framework for Operational Excellence and Engagement. Lean CX. Retrieved from http://www.leancxscore.com/leadership-quote-lao-tzu-help-people-say-we-did-it-ourselves/#:~:text=%E2%80%9CA%20leader%20is%20best%20when%20people%20barely%20know,who%20lived%20in%20China%20around%20600%20years%20BC.
Thomas, J. S. (2018). Applying Servant Leadership in Practice. Nursing Leadership & Management: Leading and serving. Retrieved from https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v2.1/#/chapter/3
tion
Target Population or Audience
5. Excellent
18.2 points
The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2 points
The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38 points
The target population or audience is provided and meet the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65 points
The target population or audience is incomplete, missing relevant information.
1. Unsatisfactory
0 points
The target population or audience is not addressed.
Criteria Description
Benefits of Quality Improvement Initiative
5. Excellent
18.2 points
The benefit of the quality improvement initiative meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2 points
The benefit of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38 points
The benefits of the quality improvement initiative are provided and meet the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65 points
The benefits of the quality improvement initiative are incomplete, missing relevant information.
1. Unsatisfactory
0 points
The benefits of the quality improvement initiative are not provided.
Criteria Description
Interprofessional Collaboration Required to Implement the Quality Improvement Initiative
5. Excellent
18.2 points
The interprofessional collaboration that would be required to implement the quality improvement initiative is clearly discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2 points
The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38 points
The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets the basic criteria for the assignment as indicated in the assignment instructions
2. Less Than Satisfactory
13.65 points
The interprofessional collaboration that would be required to implement the quality improvement initiative is incomplete, missing relevant information.
1. Unsatisfactory
0 points
The interprofessional collaboration that would be required to implement the quality improvement initiative is not discussed.
Criteria Description
Cost or Budget Justification
5. Excellent
18.2 points
The cost or budget justification issue meets all criteria for the assignment, as indicated by the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2 points
The cost or budget justification issue meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38 points
The cost or budget justification is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65 points
The cost or budget justification is incomplete, missing relevant information.
1. Unsatisfactory
0 points
The cost or budget justification is not provided.
Criteria Description
Basis Upon Which the Program or Project Will Be Evaluated
5. Excellent
18.2 points
The basis, upon which the quality improvement initiative will be evaluated as indicated by the assignment instructions, is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2 points
The basis upon which the quality improvement initiative will be evaluated is provided in detail.
3. Satisfactory
14.38 points
The basis upon which the quality improvement initiative will be evaluated meets the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65 points
The basis upon which the quality improvement initiative will be evaluated is incomplete, missing relevant information.
1. Unsatisfactory
0 points
The basis upon which the quality improvement initiative will be evaluated is not provided.
Criteria Description
Thesis Development and Purpose
5. Excellent
7 points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. Good
6.23 points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. Satisfactory
5.53 points
Thesis is apparent and appropriate to purpose.
2. Less Than Satisfactory
5.25 points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. Unsatisfactory
0 points
Paper lacks any discernible overall purpose or organizing claim.
Criteria Description
Paragraph Development and Transitions
5. Excellent
7 points
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
4. Good
6.23 points
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
3. Satisfactory
5.53 points
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
2. Less Than Satisfactory
5.25 points
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
1. Unsatisfactory
0 points
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
7 points
Writer is clearly in command of standard, written, academic English.
4. Good
6.23 points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
3. Satisfactory
5.53 points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
2. Less Than Satisfactory
5.25 points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
1. Unsatisfactory
0 points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Criteria Description
Paper Format (use of appropriate style for the major and assignment)
5. Excellent
2.8 points
All format elements are correct.
4. Good
2.49 points
Appropriate template is fully used. There are virtually no errors in formatting style.
3. Satisfactory
2.21 points
Appropriate template is used. Formatting is correct, although some minor errors may be present.
2. Less Than Satisfactory
2.1 points
Appropriate template is used, b