You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders ha

Quality of Healthcare Assignment Guidelines with Scoring Rubric

Purpose

The purposes of this assignment are to: (a) propose evidence based interventions using a new nursing care delivery model that will reduce costs and improve the quality and safety of healthcare in the organization (CO1, CO3 & CO4), and (b) engage in scholarly inquiry and communication (CO5)

Course Outcomes

Through this assignment, the student will demonstrate the ability to do the following.

(CO1) Evaluate and develop organizational strategic plans (SP) in relation to patient safety, economic and quality outcomes of healthcare organizations and systems. (PO1)

(CO3) Appraise the effects of strategies to reduce costs and improve the quality and safety of healthcare. (PO1 & PO4)

(CO4) Organize legal and regulatory components of healthcare strategies to promote safety and quality care. (PO1 & PO4)

(CO5) Synthesize and communicate research findings to promote quality improvement and safety in healthcare. (PO1 & PO4)

Preparing the paper

Assignment Situation:

You are the nurse executive of the Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of most current National Patient Safety Goals found at the link below.

National Patient Safety Goals-The Joint Commission https://www.jointcommission.org/standards/national-patient-safety-goals/

You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission’s revisit in six(6) months.

Scenario Instructions:

For this assignment, you will:

Complete the scenario by selecting and defining two National Patient Safety Goals and their deficiencies noted by The Joint Commission. You will identify the outcome measures used to assess them and the goals for improving these outcomes by implementing the new nursing care delivery model. You will describe the nursing care delivery model proposed, how it impacts the deficiencies in the safety goals chosen, and its economic impact on the organization.

Based on all the information gathered through your exploration you will create the PICOT.question for this evidence-based improvement. This will be included as a statement in the Overview of Issue section of the assignment.

At the Ocracoke Regional Healthcare System (P), will implement a _____________ nursing care delivery system (I), compared to the current total care nursing care delivery system (C), result is compliance with the Joint Commission’s recommendations (O) at their revisit in 6 months (T).

(See the example below for review in writing a PICOT)

Requirements:

1. Use the following format and headings to organize your assignment

A. Introduction

i) Statement of purpose of paper

ii) Overview of components of paper

B. Overview of Issue

i) Scenario

ii) National Patient Safety Goals identified

iii) New Nursing Care Delivery Model identified

iv) Final PICOT stated

C. National Patient Safety Goals

i) Safety goals and deficiencies identified

ii) Outcome measures defined

D. New Nursing Model

i) Description of new nursing care delivery model

ii) Impact of model in addressing the safety goals

iii) Impact of model on reducing organizational costs

E. Conclusion

i) Recap of paper’s purpose

ii) Summary of what was accomplished

2. A minimum of three (3) scholarly sources, no older than 5 years must be used for the paper. These should be relevant to nursing and should represent the majority of evidence provided in the paper. Other sources may be used in addition to these; however, they will not be counted as part of the scholarly source requirement.

3. The paper should contain all elements required under the guidelines and provided by the outline.

4. The outline provided should be followed for organizing the paper. Only level one headings are required. Remember, the introduction does not have a heading.

5. A maximum of four (4) pages, excluding title and reference pages, is required.

6. The paper should be written in third person, active voice. Refer to “Guidelines for Writing Professional Papers in Graduate Programs” found in the Student Resources Central of the course.

7. Refer to rubric for paper mechanics

For guidance in writing a PICOT statement refer to the following. There is also an instructional webinar in the course announcement that can offer further guidance if needed.

PICOT Writing Review

Situation:

Sunnybrook Health System has started the process for acquiring Magnet status. They have scheduled multiple planning and process meetings over the next year that require attendance of all staff. Staff must attend at least 70% of the meetings live. After three meetings, live attendance of night shift staff has been about 5%. There is concern that with the small amount of interest shown from this group, the benchmark of 70% for live attendance may be jeopardized. Currently, the meeting schedule is communicated to all staff via email and posted announcements. Suzie thinks an incentive of a free meal for live attendance might improve attendance of the night shift crew.

How could a PICOT be developed with this information?

P = Population – Describes the group upon which the intervention will have an effect.

   Ex: night shift staff

I = Intervention – What we want to do that is different from what we currently do; the thing that is going to impact the population identified

   Ex. coupons for a free meal in the cafeteria

C = Comparison – Here the comparison is a before and after the intervention (incentive in this case)

   Ex: communication of scheduled meetings via email and posted announcements

O = Outcome – What we want to see happen as a result of the intervention. The outcome should meet three criteria: direction (increase, decrease, etc), a baseline, and a goal.

   Ex: increased mandatory meeting live attendance from 5% to 50%

T = Timing or Timeframe – When we expect to see the outcomes.

   Ex: over the next 4 meetings

Now you can create the PICOT:

Among night shift staff (P), will offering a coupon for a free meal in the cafeteria (I), as opposed to only email invitations and posted announcements (C), increase mandatory meeting live attendance from 5% to 50% (O) over the next 4 meetings (T)?

Category	Points	%	Description
Introduction	30	13%	Introduction clearly introduces your quality of healthcare assignment and purpose of the assignment.
Overview of issue	30	13%	Scenario Overview provided and includes National Patient Goals identified (2) New Nursing Care Delivery Model identified Final PICOT correctly stated
National Patient Safety Goals	30	13%	Two goals and their deficiencies described Specific outcome measures (goals) defined
Nursing Care Delivery Model	80	38%	New nursing care model delivery described Impact of model in addressing the selected National Patient Safety goals Impact of model on reducing organizational costs
Conclusion	30	13%	Recap of paper’s purpose Summary of what was accomplished
Scholarly inquiry and communication	15	6%	Minimum of three scholarly, empirical evidence sources to support nursing care delivery model Ideas and information from other sources are cited correctly. Text, title page, and references are consistent with APA format.
Writing Conventions	10	4%	Text, title page, and references are consistent with APA format Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
Total	225		A quality assignment will meet or exceed all of the above requirements.

Healthcare Operational Planning and Management

NR 532 Week 7 Quality in Healthcare Assignment 6_21 nhs, formatting updated 7/8/22

Grading Rubric

Assignment Criteria	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
Content Possible Points = 200 Points
Introduction	30 Points	26 Points	24 Points	11 Points	0 Points
	All elements present are clearly and accurately stated · Statement of purpose; · Overview of components	All elements present with minimal inaccuracies · Statement of purpose; · Overview of components	One element clearly and accurately stated; · Statement of purpose; · Overview of components	All elements present but generally stated · Statement of purpose; · Overview of components	No elements present · Statement of purpose; · Overview of components
Overview of Safety Issue	30 Points	26 Points	24 Points	11 Points	0 Points
	All elements present are clearly and accurately stated · Scenario · Two National Safety Goals Identified · New Nursing Care Delivery Model identified · Final PICOT	All elements present with minimal inaccuracies · Scenario · Two National Safety Goals Identified; · New Nursing Care Delivery Model identified · Final PICOT	Two elements clearly and accurately stated · Scenario · Two National Safety Goals Identified; · New Nursing Care Delivery Model identified · Final PICOT	One element clearly and accurately stated; OR all elements generally addressed · Scenario · Two National Safety Goals Identified; · New Nursing Care Delivery Model identified · Final PICOT	No elements present · Scenario · Two National Safety Goals Identified; · New Nursing Care Delivery Model identified · Final PICOT
National Patient Safety Goals	30 Points	26 Points	24 Points	11 Points	0 Points
	All elements present are clearly and accurately stated · Safety Goal and deficiency identified · Outcome measures defined	All elements present are clearly stated with minimal inaccuracies · Safety Goal and deficiency identified · Outcome measures defined	One element clearly and accurately stated · Safety Goal and deficiency identified · Outcome measures defined	All elements present generally stated · Safety Goal and deficiency identified · Outcome measures defined	No elements present · Safety Goal and deficiency identified · Outcome measures defined
New Nursing Model	80 points	70 points	64 points	30 points	0 points
	All elements present are clearly and accurately stated · New Nursing Care Delivery Model described; · Impact of model on National Patient Safety Goals; · Impact on reducing organizational costs	All elements present are clearly stated with minimal inaccuracies · New Nursing Care Delivery Model described; · Impact of model on National Patient Safety Goals; · Impact on reducing organizational costs	One element clearly and accurately stated · New Nursing Care Delivery Model described; · Impact of model on National Patient Safety Goals; · Impact on reducing organizational costs	All elements present generally stated · New Nursing Care Delivery Model described; · Impact of model on National Patient Safety Goals; · Impact on reducing organizational costs	No elements present · New Nursing Care Delivery Model described; · Impact of model on National Patient Safety Goals; · Impact on reducing organizational costs
Conclusion	30 Points	26 Points	24 Points	11 Points	0 Points
	All elements present are clearly and accurately stated · Purpose of paper recap · Summary of what was accomplished	All elements present with minimal inaccuracies · Purpose of paper recap · Summary of what was accomplished	One element clearly and accurately stated · Purpose of paper recap · Summary of what was accomplished	All elements present generally stated · Purpose of paper recap · Summary of what was accomplished	No elements present · Purpose of paper recap · Summary of what was accomplished
Content Subtotal			_____ of 200 points
Interested in getting help with this assignment? Get a professional writing team to work on your assignment! Order Now Recent posts You should respond to both discussions separately–with constructive literature material- extending, refuting/correcting, or adding additional nuance You have been assigned to the project manager of the project that will be covered in the Term Paper – Managing a Cybersecurity Project assignment (du You have been assigned as the project manager of a critical software project for your firm. Your firm wants to use the Project Management Body of Kno Write a letter to an official in your state or local government. (Choose the individual in the level of government that will best address your issue) Write a brief 2-3 page report about a health care economic issue that you have identified. Address the reasons why you selected the issue you did; id