Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Assessment Instructions
Scenario
Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.
For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)
After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.
Potential topics for this assessment could be:
- Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
- Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”
Once you determine the change you would like to make, consider the following:
- What data will you use to justify the change?
- How can the team achieve this change with a reasonable cost?
- What are the effects on the workplace?
- What other implementation considerations do you need to consider to ensure that the change strategy is successful?
- How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
- Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?
Instructions
Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation to better understand how each grading criterion will be assessed.
- Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
- Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
- Justify the specific change strategies used to achieve desired outcomes.
- Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
- Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
- Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
- Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
Additional Requirements
- Length of submission: 3–5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
- Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
- APA formatting: Use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. No abstract is required.
Expert Solution Preview
Introduction:
For this assessment, we will consider a care environment where the rate of secondary infections related to a particular condition is sub-optimal. We will create a data table that illustrates the current and desired states of the clinical outcome in question. We will set quantitative goals for the outcomes and propose a change plan that is designed to help achieve the goals.
Answer:
To justify the change, we will use data specific to the care environment. The data will show the rate of secondary infections related to the condition in question by patients at the facility. We will track the rates over the course of several months to identify trends and potential areas of improvement.
To achieve a reasonable cost, we will use a multifaceted approach that includes targeted interventions aimed at reducing the risk of secondary infections. This could include instituting a more comprehensive handwashing protocol, providing staff with additional training on preventing secondary infections, and improving facilities and equipment to minimize the risk of infection.
To minimize the effects on the workplace, we will focus on implementing small, incremental changes that can be easily integrated into the current system. We will also work with staff to identify potential challenges and to address them proactively.
Implementation considerations that we will consider include ensuring that staff are adequately trained and informed about the change, carefully monitoring the effectiveness of the change to identify areas that need improvement, and providing feedback and support to staff as they adjust to the new protocol.
To address the Quadruple Aim, we will focus on improving the well-being of health care professionals by providing them with the tools and support they need to effectively manage risk and prevent secondary infections. This may include offering additional training or resources to staff to support them in their efforts to reduce the risk of infection, and providing feedback and support to staff as they work to implement the change.
Finally, we will evaluate the efficiency and effectiveness of the care system by monitoring the rate of secondary infections related to the condition in question over the course of several months to identify trends and potential areas of improvement. We will then work with staff to develop and implement targeted interventions to address any areas identified as needing improvement, and continue to monitor and evaluate the effectiveness of the interventions to ensure that the desired outcomes are being achieved.
