Capella University Collaborate on Quality Issue Analysis and Leadership Action Plan

Don't use plagiarized sources. Get Your Custom Essay on
Capella University Collaborate on Quality Issue Analysis and Leadership Action Plan
Just from $13/Page
Order Essay

Prepare an issue analysis of an incident that occurred in a health care organization and create a leadership action plan (8-10 pages) that will help to address the specific incident but will also help to drive safety and quality improvements throughout the organization.

In this third assessment in the course, you will assume the role of a newly promoted quality manager at your local hospital. This role requires you to address deficiencies by improving organizational culture, providing leadership oversight, and cultivating staff relationships within the organization. While you have many priorities in this new role, one of your first is to analyze a recent incident that occurred within the organization and to create a leadership action plan with recommended strategies and tactics to address not just the specific incident, but to drive safety and quality improvement throughout the organization.

This assessment differs from the first assessment in that with this assessment, as the quality manager, your focus is broader. Rather than focusing only on identifying specific actions the organization can take to remedy a particular incident that occurred, you are concentrating on what steps you will take as the quality manager to influence the organization’s leadership to cultivate a fair and just culture. You will determine what departments, what leaders, and what personnel you will collaborate with to improve quality for the whole organization. In this type of culture, safety is at the forefront of everyone’s job and all associates welcome the opportunity to highlight issues—without fear of reprisal—so that they can be addressed at a systemic level throughout the organization.

You may find it useful to review the short document CQI Importance and Features [PDF] as you gather your thoughts about the key elements you want to include in your assessment, Issue Analysis and Leadership Action Plan.

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 4: Apply leadership strategies to quality improvement in a health care organization.
    • Apply the IHI Triple Aim to develop a health care leadership strategy that focuses on optimizing health care system performance.
    • Propose evidence-based leadership strategies that will help to establish a safety and quality culture.
    • Propose evidence-based leadership and collaboration strategies to enlist the aid of key organizational leaders in establishing a safety and quality culture.
    • Determine opportunities to enlist the governing board’s aid in fostering a fair and just culture.
  • Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.
    • Write a clear, organized, persuasive, and generally error-free issue analysis and leadership action plan that promotes a culture of safety and quality and is reflective of professional communication in the health care field.
    • Provide citations and title and reference pages that conform to APA style and format.

Preparation

To help prepare for successfully completing this assessment:

  • Select one of the three incidents from the Vila Health: Patient Safety simulation you completed in Assessment 1. These are common incidents you are likely to encounter in the health care field. These included a patient identification error, a medication error, and a HIPAA/privacy violation. You may select one of the incidents you worked with in the previous assessments or select another one. Pick one that holds the most interest for you.
  • Consider these analysis questions once you have selected the incident on which you will focus:
    • What information do you possess about the issue? (Note: You may not be able to answer all of these questions; just include the information you know.) Consider:
      • Who was involved?
      • During what process (clinical, communication, operational) did the issue occur?
      • When did the issue occur? During a particular shift? On a particular day? During peak hours? Under certain clinical circumstances?
      • Where did the issue occur?
    • What additional data about the incident would you like to collect and analyze?
    • Which best practices may not have been adhered to that may have contributed to the issue? (Note: This information will prove useful to you as you complete your analysis and leadership action plan.)

Instructions

Write an analysis and leadership action plan for the issue you selected that will enable you to address the issue on an organization-wide basis. Please make sure to include all of the following headings and answer all of the questions underneath each heading.

Issue Summary
  • How would you summarize the key elements of the incident that occurred?
  • What is your goal in addressing the issue?
  • Which two to three key items will be your focus? For example, you may elect to focus on nursing staffing levels if being short staffed in nursing is contributing to compromises to patient safety.
IHI Triple Aim
  • What is the IHI Triple AIM?
  • How does the IHI Triple Aim apply to this specific incident?
  • What IHI Triple Aim elements will you incorporate into your organizational improvement strategy?
Culture
  • What is culture?
  • Why is culture a critical organizational priority for safety and quality?
  • Based on the knowledge you have about the selected issue, what do you know about the existing organizational culture?
  • What are some of the evidence-based strategies you are considering you could employ to cultivate a culture of safety?
Collaboration
  • Which key departments need to be directly involved with the corrective action process?
  • What is your rationale for selecting these departments? For example, you may want to involve nursing because many of errors involve nurses and obtaining their buy-in is critical to achieving the organizational priority.
  • Which specific senior leader, front line staff member, and clinical expert will you include in your action plan and hold accountable for implementation?
  • What are the implications of not engaging with all departments toward making safety and quality top of mind?
  • How might you involve other departments in addressing the specific issue and the cultural issue?
Leadership
  • Which specific leaders within the organization could assist you in addressing this issue and in making patient safety and quality top of mind throughout the organization? Examples for you to consider include the chief nursing officer, the chief medical officer, the patient safety officer, et cetera.
  • What role do you expect these leaders to play in addressing the specific issue and the issue of culture?
  • What best practices would you employ to enlist their aid in the improvement effort?
  • What role does the organization’s governing board have in terms of quality and safety in the organization?
  • How could you enlist the governing board’s aid in your improvement initiative?
  • What additional information could you provide them to increase their involvement in the organization’s safety and quality improvement efforts?
Leadership Action Plan
  • What are three evidence-based actions you recommend that would help to solve the incident that arose?
  • What are three evidence-based best practices you recommend to address the issue on an organizational level?
Conclusion
  • How will you summarize your analysis of the incident and your leadership action plan?

Remember that health care is an evidence-based field. You will need to cite a minimum of two credible references to support your analysis and action planning process.

In addition, in the health care field, your analysis and action plan would not typically be written in APA format. Do ensure that it is clear, persuasive, concise, organized, and without errors in grammar, punctuation, and spelling. Do provide citations and title and reference pages in APA format. Other leaders in your organization are going to want to know what sources you relied on to prepare your analysis and action plan.

Additional Requirements

  • Length: Your incident analysis and leadership action plan will be 8–10 double-spaced pages, not including title and reference pages.
  • Font: Times New Roman, 12-point.
  • APA Format: Your citations and title and reference pages need to be in APA format. The body of your analysis does not need to be written in APA format. It does need to be well written, include the headings specified in the instructions, and address the questions listed under each heading.
  • Scoring Guide: Please review this assessment’s scoring guide to ensure you understand how your faculty member will

  • Resources

  • Collaboration and Teamwork

    • ASQ. (n.d.). Teams. Retrieved from http://asq.org/learn-about-quality/teams/overview/…
    • Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2016). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system [PDF]. Journal of Patient Safety. Manuscript published ahead of print.
    • Health Care Administration Undergraduate Library Research Guide.
    • National Association for Healthcare Quality. (2011). NAHQ code of ethics and standards of practice. Retrieved from https://nahq.org/about/code-of-ethics
    • U.S. Department of Health and Human Services Health Resources and Services Administration. (n.d.). Improvement teams [PDF]. Retrieved from https://www.hrsa.gov/sites/default/files/quality/t…

    evaluate your work

  • The IHI Triple Aim

    You may find it useful to revisit these suggested resources from Assessment 1 on the IHI Triple Aim as you formulate your thinking around the IHI Triple Aim section of your analysis and leadership action plan:

    • Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: Care, health, and cost. Health Affairs, 27(3), 759–769.
    • Institute for Healthcare Improvement. (2018). IHI triple aim initiative. Retrieved from http://www.ihi.org/Engage/Initiatives/TripleAim/Pa…

    Quality Improvement Tools

    • CQI Importance and Features [PDF].
    • Gillam, S., & Siriwardena, A. N. (2013). Frameworks for improvement: Clinical audit, the plan-do-study-act cycle and significant event audit. Quality in Primary Care, 21(2), 123–130.
    • Kovach, J. V., Revere, L., & Black, K. (2013). Error proofing healthcare: An analysis of low cost, easy to implement and effective solutions. Leadership in Health Services, 26(2), 107–117.
    • Millar, R. (2013). Framing quality improvement tools and techniques in healthcare. Journal of Health Organization and Management, 27(2), 209–224.
    • Culture

      • Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2016). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system [PDF]. Journal of Patient Safety. Manuscript published ahead of print.
      • Frank-Cooper, M. (2014). The justice behind a just culture. Nephrology Nursing Journal, 41(1), 87–88.
      • Miranda, S., Jr., & Olexa, G. A. (2013). Creating a just culture. Pennsylvania Nurse, 68(4), 4–10.
      • Stevens, M. (2014). Just culture: A fairer way to improve care. Healthcare Leadership Review, 33(7), 8–10.
      • Institute for Healthcare Improvement. (2015). What is a culture of safety? [Video] | Transcript. Retrieved from http://www.ihi.org/education/IHIOpenSchool/resourc…

Calculate your paper price
Pages (550 words)
Approximate price: -

Why Work with Us

Top Quality and Well-Researched Papers

We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.

Professional and Experienced Academic Writers

We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.

Free Unlimited Revisions

If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.

Prompt Delivery and 100% Money-Back-Guarantee

All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.

Original & Confidential

We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.

24/7 Customer Support

Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.

Try it now!

Calculate the price of your order

Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Services

No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.

Essays

Essay Writing Service

No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.

Admissions

Admission Essays & Business Writing Help

An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.

Reviews

Editing Support

Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.

Reviews

Revision Support

If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.