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IHP 604 Project Guidelines and Rubric
Competencies
In this project, you will demonstrate your mastery of the following competencies:
Analyze healthcare quality metrics
Determine an opportunity for a healthcare improvement initiative
Recommend a healthcare quality improvement initiative and evaluation process
Overview
Throughout this course, you have learned how to analyze healthcare quality metrics, determine an opportunity for a healthcare improvement initiative, and recommend a healthcare quality
improvement implementation plan and evaluation process. In this project, you will demonstrate the knowledge and skills needed to improve healthcare delivery for an organization. Choose a
clinically or non-clinically based healthcare organization that releases public-facing data. You may decide to select a local organization or one where you work or have been a patient. For this
project, you will be creating a healthcare quality improvement initiative and evaluation report in which you will describe the issue at the outset, the setting, the problem to be solved, the
parties affected, and the reason why the issue is important to address. You will recommend a concise implementation plan and describe in detail how you plan to evaluate if your
implementation was successful.
Scenario
For the purposes of this project, imagine that you work on a team that monitors quality and risk management within the organization you selected. Whether you are coming from a nursing lens
or a healthcare administration lens, your task is to analyze the healthcare quality metrics for the organization you selected. Based upon your analysis of the data, you will determine an
opportunity for a healthcare improvement initiative for the organization. Then, you will provide a recommendation so that the organization can improve the quality and/or safety of its
healthcare delivery. Finally, describe how you will evaluate the effectiveness of your plan.
Directions
Your report should contain the following sections:
1. Metric analysis: Analyze the healthcare quality metrics of your chosen healthcare organization based on their public data.
A. Interpret the data and metrics related to the effectiveness of a healthcare organization.
B. Assess the validity and quality of the healthcare quality improvement data that support the need for the improvement opportunity you will include in your report.
C. Derive insights and opportunities from the data.
2. Opportunity for improvement: Determine an opportunity for a healthcare quality improvement initiative for the healthcare organization you selected.
A. Explain how the metrics drive an opportunity for improvement.
B. Determine an evidence-based quality improvement tool for addressing an improvement opportunity.
C. Apply a problem-solving framework or tool to identify what could have been done differently based on the metrics and show and/or describe your application of the tool or
framework.
3. Recommendation: Provide a recommendation for the organization you selected so that the organization can improve the quality and/or safety of its healthcare delivery and determine
how to evaluate if your recommendations were successful.
A. Develop a healthcare quality improvement initiative using a framework, such as plan-do-study-act (PDSA), root cause analysis (RCA), and failure mode effect analysis (FMEA).
B. Determine an evaluation method for a healthcare quality improvement initiative for 1, 3, 6, and 12 months and describe that method in detail.
C. Determine data-collection tool(s).
Your project should provide evidence from at least �ve scholarly sources.
What to Submit
To complete this project, you must submit the following:
Healthcare Quality Improvement Initiative and Evaluation Report
Submit your healthcare quality improvement initiative and evaluation report as a Word document. Your submission should be approximately 4 to 6 pages with 12-point Times New Roman
font, double spacing, and one-inch margins. You must also include an APA-style title page. At least �ve sources within the past �ve years should be cited according to APA style.
Supporting Materials
The following resources support your work on the project:
Website: Find and Compare Nursing Homes, Hospitals, and Other Providers Near You
This website will help you �nd and compare homes, hospitals, and other providers near you.
Website: AHRQ
The Agency for Healthcare Research and Quality website will help you �nd metrics from healthcare providers. The data visualizations under the Data tab are also worth exploring. AHRQ also
has toolkits and best/leading practices that you may want to refer to.
Project Rubric
Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value
Metric Analysis:
Interpretation
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Interprets data and metrics
related to effectiveness of a
healthcare organization
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Metric Analysis: Validity and
Quality
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Assesses validity and quality of
healthcare quality
improvement data
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Metric Analysis: Insights and
Opportunities
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Derives insights and
opportunities from data
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Opportunity for
Improvement: Explanation
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Explains how metrics drive
improvement opportunity
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Opportunity for
Improvement: Tool Selection
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Determines quality
improvement tool for
addressing improvement
opportunity
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Opportunity for
Improvement: Problem-
Solving Framework
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Applies problem-solving
framework to identify what
could have been done
differently based on metrics,
and shows and/or describes its
application
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Recommendation: Initiative Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Develops concise healthcare
quality improvement initiative
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Criteria Exemplary (100%) Pro�cient (90%) Needs Improvement (70%) Not Evident (0%) Value
Recommendation:
Evaluation Method
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Determines evaluation method
for healthcare quality
improvement initiative and
describes method
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 10
Recommendation: Data
Collection
Exceeds pro�ciency in an
exceptionally clear and
insightful manner, using
industry-speci�c language
Determines data collection
tool(s)
Shows progress toward
pro�ciency, but with errors or
omissions
Does not attempt criterion 5
Articulation of Response Exceeds pro�ciency in an
exceptionally clear and
insightful manner
Clearly conveys meaning with
correct grammar, sentence
structure, and spelling,
demonstrating an
understanding of audience and
purpose
Shows progress toward
pro�ciency, but with errors in
grammar, sentence structure,
and spelling, negatively
impacting readability
Submission has critical errors in
grammar, sentence structure,
and spelling, preventing
understanding of ideas
5
Scholarly Sources Incorporates more than �ve
scholarly, current (within the
last �ve years) sources, or use
of sources is exceptionally
insightful
Incorporates �ve scholarly,
current (within the last �ve
years) sources that support
claims
Incorporates fewer than �ve
scholarly, current (within the
last �ve years) sources, or not
all sources support claims
Does not incorporate sources 5
Citations and Attributions Formats in-text citations and
reference list according to APA
style with no errors
Formats in-text citations and
reference list according to APA
style with fewer than �ve
errors
Formats in-text citations and
reference list according to APA
style with �ve or more errors
Does not format in-text
citations and reference list
according to APA style
5
Total: 100%
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