What is Quality Improvement?
Quality improvement (QI) and research have very different functions in healthcare. The purpose of QI is to use data to improve processes and or outcomes. The QI process has its roots in organizational philosophies, total quality management and continuous quality improvements processes. A key component of developing a QI plan is to identify the outcome to be measured, then developing a plan and collecting data before and after the intervention.
Research, on the other hand requires extensive literature reviews and critical appraisal. The intent of doing research is to provide new knowledge using quantitative and qualitative methods to produce best evidence. Nurses are typically more involved in QI projects than they are in research activities. Some examples of QI projects include implementing a process to remove urinary catheters within a certain time frame, developing a process to improve patient pain documentation, and improving the process for patient education for those patients with congestive heart failure. The key to developing a QI plan includes clearly defining the outcome that needs to be improved, identify how the outcome will be measured, and develop a plan for implementing an intervention and collecting data before and after the intervention. This assignment reviews some important components of a QI plan.
In this Module, the student will create a QI plan. This plan will continue in Module seven. In this Module, the components of this QI plan include the development of:
Write about a medical condition that interest you (read the example below)
Directions for Quality Improvement Project
Leadership and Management Module Five & Seven
The intent of this assignment is to have the student become familiar with the Quality Improvement (QI) process and be exposed to some useful tools that will help with QI projects. Some examples are provided to assist students in parts of this assignment, the examples are in red font. First, the student should visit the Institute for Healthcare Improvement (IHI) website (http://www.ihi.org/topics/Pages/default.aspx) and select a topic for their QI project.
In Module 5, you will write about the topic and cover the below content. Like all professional papers, the paper should be in the American Psychological Associate (APA) template. The expectation is the APA formatting, references in text and in the reference page should be in proper format. To begin, the introduction of the paper should state some brief information about the project, along with a purpose. The reader should be able to understand the intent of the project in the introduction. After you submit your paper in Module five, the instructor will review and return with a grade. The expectation is that you will make the recommended changes when submitted in Module seven. Next, each of the following items need to be addressed:
In the United States, thousands of people are diagnosed and living with congestive heart failure (CHF) each year. The identified problem in this project is the lack of standardized care for patients who suffer from CHF. CHF is defined as “ A condition in which the heart fails to pump an adequate supply of blood to meet the body’s needs (Institute for Health Care Improvement [IHI}, 2008, p. 3). For those who live with CHF, the course of treatment is often long term, taxing to the patient, the family and puts a strain on an already taxed healthcare system. Standardizing a plan of care for these patients may help the patient and family maintain a better quality of life and decrease the long-term cost of care. The purpose of this paper is to…..
Problem & Improvement
Living with CHF presents many obstacles for the patient, the family and the healthcare system. Jones and Smith (2018) found that four million people suffered from CHF in the United States between 2002 and 2012. Fifty two percent of those patients had a 75% chance of readmission to the hospital within the first month of being discharged. This cost represented four billion dollars spent on patients who suffered from this affliction (Doran, 2017). This wide spread problem puts a large strain on the healthcare system. Additional literature suggests that those patients with CHF suffer a poorer quality of life, due to frequency of hospital visits and financial strain (Algood & Jackson, 2018). Regarding the impact on those with CHF, The Institute for Health Care Improvement (2008) found:
CHF carries with it a substantial human toll. The debilitation from the condition itself significantly affects the person’s ability to function in daily life. Yet, because of inadequate treatment, discharge guidance and follow-up, many patients with CHF are caught in a “revolving door” process that ultimately culminates in deterioration and rehospitalization. This is reflected in the following readmission rates among 616,000 Medicare discharges in 2005: 27% within 30 days, 39% within 60 days, nearly 50% within 90 days of hospital discharge (p.22).
For these reasons, a standardized plan of treatment is appropriate and recommended by multiple authors in the literature. Current research has suggested that those patients with CHF who followed a standardized plan of care had a significant increase in quality of life, as compared to those who do not follow a standardized plan of care (Martin, 2019). Additional research suggests that if all facilities followed a standardized plan of care or treatment for these patients, the healthcare system would save four billion dollars a year (Dumont, 2019).
Gap & Best Practice
According to the literature, there is an identified gap in recommended and current practice. Many of our nation’s hospitals are not following recommended guidelines set forth from the IHI. Martin (2017) found that only 30% of hospitals follow the current recommended guidelines for the treatment of CHF. Add two more references. This information details a need to change practice. Best practices identified by the IHI include seven key care components. Make sure your paragraphs are substantive and clearly explain items. The best practices are superior to current practice because evidence in the literature substantiates a better quality of life for patients along with cost savings.
What are the recommended changes needed in practice found in the literature? Tell the reader what changes are needed in practice compared to current evidence. If current practice is similar to the literature, tell the reader what could be done to monitor and maintain best practices. This section should be at least one page. List three recommendations found in the literature in bullet points. Identify exactly what needs to be changed. For each recommendation, tell the reader whether it is a change in knowledge, skill or attitude.
What change theory would you use to implement this Quality Improvement project? The text has many different examples of these types of theories. This is a very important part of the project because if you are not aware of how to make change happen or the stages of change theory, the project may not be successful. In this section:
After visiting the Institute for Health Care Improvement (IHI) website at http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementHowtoImprove.aspx review the Model for Improvement and its various sections. With your project in mind, respond to the following questions in paragraph form:
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