Data Analysis and Quality Improvement Initiative Proposal

Data Analysis and Quality Improvement Initiative Proposal
Prepare an 8-10-page data analysis and quality improvement initiative proposal
based on a health issue of interest. Include internal and external benchmark
data, evidence-based recommendations to improve health care quality and
safety, and communication strategies to gain buy-in from all interprofessional
team members responsible for implementing the initiative.
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 displays critical care metrics and
outcomes along with data collected from the care delivery process.
For this assessment, use your current role or assume a role you hope to have.
You will develop a quality improvement (QI) initiative proposal based on a health
issue of professional interest. To create this proposal, analyze a health care
facility’s dashboard metrics and external benchmark data. Include evidence-
based recommendations to improve health care quality and safety relating to
your selected issue. Successful QI initiatives depend on the support of nursing
staff and other members of the interprofessional team. As a result, a key aspect
of your proposal will be the communication strategies you plan to use to get buy-
in from these team members.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your
proficiency in the course competencies through the following assessment scoring
guide criteria:
 Competency 1: Plan quality improvement initiatives in response to adverse
events and near-miss analyses.
o Determine whether any adverse event or near-miss data needs to be factored in
to outcomes and recommendations.
 Competency 2: Plan quality improvement initiatives in response to routine data
surveillance.

o Develop a QI initiative proposal based on a selected health issue and supporting
data analysis.
 Competency 3: Evaluate quality improvement initiatives using sensitive and
sound outcome measures.
o Analyze data to identify a health care issue or area of concern.
 Competency 4: Integrate interprofessional perspectives to lead quality
improvements in patient safety, cost-effectiveness, and work-life quality.
o Communicate QI initiative proposal based on input of the interdisciplinary team to
improve patient safety and quality outcomes and work-life quality.
 Competency 5: Apply effective communication strategies to promote quality
improvement of interprofessional care.
o Determine communication strategies to promote quality improvement of
interprofessional care.
o Communicate QI initiative proposal in a professional, effective manner, writing
clearly and logically, with correct use of grammar, punctuation, and spelling.
o Integrate relevant sources to support arguments, correctly formatting citations
and references using APA style.
Preparation
To develop the QI initiative proposal required for this assessment, you must
analyze a health care facility’s dashboard metrics. Choose Option 1 or 2
according to your ability to access dashboard metrics for a QI initiative proposal.
Option 1
If you have access to dashboard metrics related to a QI initiative proposal of
interest to you, complete the following:
 Analyze data from the health care facility to identify a health care issue or area of
concern. You will need access to reports and data related to care quality and
patient safety. For example, in a hospital setting, you would contact the quality
management department to obtain the needed data. It is your responsibility to
determine the appropriate resource to provide the necessary data in your chosen
health care setting. If you need help determining how to obtain the needed
information, consult your faculty member for guidance.
 Include in your proposal basic information about the health care setting, size, and
specific type of care delivery related to the identified topic. Please abide
by Health Insurance Portability and Accountability Act (HIPAA) compliance
standards.

Option 2
If you do not have access to a dashboard or metrics related to a QI initiative
proposal:
 Use the hospital data set provided in Vila Health: Data Analysis. You will analyze
data to identify a health care issue or area of concern.
 Include in your proposal basic information about the health care setting, size, and
specific type of care delivery related to the identified topic.
Instructions
Use your current role or assume a role you would like to have. Choose a quality
improvement initiative of professional interest to you. Your current organization is
probably working on quality improvement initiatives that can be evaluated, so
consider starting there.
To develop your proposal, you will:
 Gather internal and external benchmark data on the subject of your quality
improvement initiative proposal.
 Analyze data you have collected.
 Make evidence-based recommendations about how to improve health care
quality and safety relating to your chosen issue.
Remember, your initiative’s success depends on the interprofessional team's
commitment to the QI initiative. Think carefully about these stakeholders and how
you plan to include them in the process, as they will help you develop and
implement ideas and sustain outcomes. Also, remember how important external
stakeholders, such as patients and other health care delivery organizations, are
to the process. As you are preparing this assessment, consider carefully the
communication strategies you will employ to include the perspectives of all
internal and external stakeholders in your proposal.
The following numbered points correspond to grading criteria in the scoring
guide. The bullets below each grading criterion further delineate tasks to fulfill the
assessment requirements. Be sure that your proposal addresses all of the
content below. You may also want to read the scoring guide to better understand
the performance levels related to each grading criterion.
1. Analyze data to identify a health care issue or area of concern.
o Identify the type of data you are analyzing from your institution or from the Vila
Health activity.
o Explain why data matters. What does data show related to outcomes?

o Analyze the dashboard metrics. What else could the organization measure to
enhance knowledge?
o Present dashboard metrics related to the selected issue that are critical to
evaluating outcomes.
o Assess the institutional ability to sustain processes or outcomes.
o Evaluate data quality and its implications for outcomes.
2. Determine whether any adverse event or near-miss data needs to be factored in
to outcomes and recommendations.
o Examine the nursing process for variations or performance failures that could
lead to an adverse event or near miss.
o Identify trends, measures, and information needed to critically analyze specific
outcomes.
o Specify desired outcomes related to prevention of adverse events and near
misses.
o Analyze which metrics indicate future quality improvement opportunities.
2. Develop a QI initiative proposal based on a selected health issue and supporting
data analysis.
o Determine benchmarks aligned to existing QI initiatives set by local, state, or
federal health care policies or laws.
o Identify any internal existing QI initiatives in your practice setting or organization
related to the selected issue. Explain why they are insufficient.
o Evaluate external national or international QI initiatives on the selected health
issue with existing quality indicators from other facilities, government agencies,
and nongovernmental bodies on quality improvement.
o Define target areas for improvement and the processes to be modified to improve
outcomes.
o Propose evidence-based strategies to improve quality.
o Analyze challenges that meeting prescribed benchmarks can pose for a health
care organization and the interprofessional team.
2. Communicate QI initiative proposal based on interdisciplinary team input to
improve patient safety and quality outcomes and work-life quality.
o Define interprofessional roles and responsibilities relating to data and the QI
initiative.
o Explain how to ensure all relevant interprofessional roles are fully engaged in this
effort.

o Identify how outcomes will be measured and data used to inform
interprofessional team performance related to specific tasks.
o Reflect on the impact of the proposed initiative on work-life quality of the
interprofessional team.
o Describe how the initiative enhances work-life quality due to improved strategies
supporting efficiency.
2. Determine communication strategies to promote quality improvement of
interprofessional care.
o Identify interprofessional communication strategies that will help to promote and
ensure the success of the QI initiative.
o Identify communication models, such as SBAR and CUS, to include in your
proposal.
o SBAR stands for Situation, Background, Assessment, Recommendation.
o CUS stands for "I am Concerned about my resident's condition; I
am Uncomfortable with my resident's condition; I believe the Safety of the
resident is at risk."
o Consult this resource for additional information about these fundamental
evidence-based tools to improve interprofessional team communication for
patient handoffs:
o Agency for Healthcare Research and Quality (AHRQ). (n.d.). Module 2:
Communicating change in a resident’s condition. Retrieved from
https://www.ahrq.gov/professionals/systems/long-term-
care/resources/facilities/ptsafety/ltcmod2ap.html
2. Communicate QI initiative proposal in a professional, effective manner, writing
clearly and logically, with correct use of grammar, punctuation, and spelling.
3. Integrate relevant sources to support arguments, correctly formatting citations
and references using APA style.