NURS 6231 Case study Assignment: Community General Hospital 

NURS 6231 Case study Assignment: Community General Hospital

NURS 6231 Case study Assignment: Community General Hospital

Part 2: Written Summary

The strategic use of quality and safety dashboards by a significant portion of healthcare organizations is primarily for offering feedback to clinical managers and teams for the sake of monitoring care quality, enhancing patient safety as well as stimulating research and quality improvement (Rabiei & Almasi, 2022). In this paper, strong emphasis is placed on identifying at least 6 quality measures for inclusion in a dashboard for the Community General Health Board. It will also explain why the selected measures are important to the organization. An analysis of how the Triple Aim/Quadruple Aim is represented in the selected measures. An explanation of how the measures are displayed, communication strategy, and how the dashboards could be used as a leadership tool to enhance patient outcomes is provided.

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No.	Indicator	Measures Taken	Expectations
1	Percentage or number of surgical wound infections among patients admitted at the CGH within 30 days of an operative procedure	Utilization of surgical checklist to assist all staff of the operating team to engage in effective communication with each other and with patients, prior, during and after an operation (Mbagwu, 2020).	I expect the percentage of wound infections to reduce by 50%
2	Percentage or rate of waiting times in the emergency department	The implementation of the Code Help Program will enable inpatients and families to contact the CGH in the event of an emergency. This program acts a proactive layer of safety implemented to assist in the prevention of negative outcomes prior to occurring (Shen & Lee, 2020).	I expect waiting times to be lower than 1 hour after implementation of the Code Help Program
3	Percentage of patients readmitted at the CGH within 30 days after discharge.	The introduction of follow-up calls with the most susceptible patients for the purpose of reviewing his/her discharge instructions and confirming plans for follow-up care as the fundamental basis for reducing readmissions (Shenoy, 2021). Currently, the CGH has a readmission rate of 1.4.	I expect the rates of readmission to be below 1.4 for the stipulated duration.
4	Promoting diversity in the racial/ethnic mix of patients accessing services at the CGH	Whilst it may prove difficult to control this particular indicator, the healthcare professionals including managers and leaders must focus on promoting equal and fair treatment of all patients, regardless of their racial/ethnic background. Currently, only 38% of patients visiting the community general hospital are non-white.	I expect the percentage or number of patients that are non-white to be more than 50%.
5	Promoting patient-centeredness in the delivery of quality care to admitted patients	Assessment of patient satisfaction as well as patient’s willingness to recommend the Community General Hospital. Conducting regular self-monitoring of the work and progress attained on patient safety and care quality will go ahead to enhance the adoption of best practices and improve the facility’s performance (Babalola et al., 2022).	I expect the level of patient satisfaction to increase by threefold, and to report a rise in the number of patients willing to recommend the CGH based on care quality and patient safety.
6	Percentage of patients aged 65 years and above who are experiencing adverse events within 14 days after admission	Assessment of safety is conducted at the aggregated patient level to determine patients who need specialized care (Mbagwu, 2020).	I expect the number of patients aged 65 years and above, and experiencing adverse events to reduce by almost two thirds for this period.
Indicators, Measures and Expectations

Importance of These Measures

The centrality of the identified measures is based on how they will be used to inform quality improvement efforts and operational decision-making at the hospital. Similarly, they will be applied to help in the monitoring and evaluation of quality and safety of care offered at the Community General Hospital (Quentin et al., 2019). Therefore, these measures are important since they can be applied to stimulate quality improvement through enabling teams to receive actionable feedback and to implement best practices (Shenoy, 2021).

The Triple Aim framework

Developed by the Institute for Healthcare Improvement (IHI), the Triple Aim is an important framework aimed at supporting the realization of improvements in care quality, patient safety and reduction in healthcare costs (Kokko, 2022). In the selected measures, the triple Aim is fully represented since quality dashboard is primarily centered on fostering the experience of care, expanding access to quality and safe healthcare services and enhancing the health of target populations (Shen & Lee, 2020).

Display of Measures

These measures were displaced in a tabular dashboard in order to reveal the key indicators on care quality and patient safety, clinical outcomes as well as patient satisfaction. Ideally, the choice of display was primarily informed by the need to come up with a visual dashboard to monitor the implementation of quality improvement initiatives aimed at responding to the key issues faced by the community general hospital namely: tackling surgical infections, reducing readmissions and reducing wait times in the emergency department (Mbagwu, 2020)

Communication Strategy

The strategy for communicating the dashboard throughout the organization will entail the development and implementation of a clear communication structure aimed at informing all the key stakeholders about the major issues and risks for patients, their caregivers and healthcare practitioners (Rabiei & Almasi, 2022). The promotion of open, two-way communication will form the basis for sharing key information and data regarding the dashboard to the respective parties within and outside the Community General Hospital.

The Dashboard as a Leadership Tool

Research has shown that quality dashboards are extensively used in boards of high-performing healthcare facilities. At the CGH, the dashboard can be used as a vital leadership tool for evaluating, measuring and monitoring the quality of care as well as patient safety at this particular healthcare organization. Equally, the hospital-wide quality and safety dashboard may also be used by hospital leaders to take into consideration the key quality indicators and measures that can be pursued to ensure the successful realization of improvement initiatives at a tactical level (Weggelaar-Jansen et al., 2018).

References

Babalola, O., Goudge, J., Levin, J., Brown, C., & Griffiths, F. (2022). Assessing the utility of a quality-of-Care assessment tool used in assessing comprehensive care services provided by community health workers in South Africa. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.868252

Kokko, P. (2022). Improving the value of healthcare systems using the Triple Aim framework: A systematic literature review. Health Policy, 126(4), 302-309. https://doi.org/10.1016/j.healthpol.2022.02.005

Mbagwu, C. (2020). Quality improvement initiative: Reducing surgical site infections in medical facility serving the underserved population. https://doi.org/10.26226/morressier.5ebc4ac6ffea6f735881a411

Quentin, W, Partanen, V.M, Brownwood I, et al. (2019). Measuring healthcare quality. In: Busse R, Klazinga N, Panteli D, et al., editors. Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies [Internet]. Copenhagen (Denmark): European Observatory on Health Systems and Policies. https://www.ncbi.nlm.nih.gov/books/NBK549260/

Rabiei, R., & Almasi, S. (2022). Requirements and challenges of hospital dashboards: A systematic literature review. https://doi.org/10.21203/rs.3.rs-1450850/v1

Shen, Y., & Lee, L. H. (2020). Improving the wait time to triage at the emergency department. BMJ Open Quality, 9(1), e000708. https://doi.org/10.1136/bmjoq-2019-000708

Shenoy, A. (2021). Patient safety from the perspective of quality management frameworks: A review. Patient Safety in Surgery, 15(1). https://doi.org/10.1186/s13037-021-00286-6

Weggelaar-Jansen, A. M., Broekharst, D. S., & De Bruijne, M. (2018). Developing a hospital-wide quality and safety dashboard: A qualitative research study. BMJ Quality & Safety, 27(12), 1000-1007. https://doi.org/10.1136/bmjqs-2018-0

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To Prepare:
Review the Community General Hospital Case Study presented in the Learning Resources.
Complete the Week 7 Discussion in which you research quality and safety measures and select 6–8 measures for inclusion in a dashboard for the Community General Hospital Board.
Review any feedback received in Discussion about your chosen measures.
Determine how you will display the measures in your dashboard.
Assignment
Part 1: Dashboard
Using Microsoft Excel or PowerPoint, create a quality dashboard based on the Community General Hospital Case Study. Your dashboard must include 6–8 measures. Use mock data to represent the measures you have chosen.

Part 2: Written Summary
To accompany your dashboard, write a 2- to 3-page paper in which you do the following:

Identify the 6–8 quality measures you have chosen for your dashboard.
Explain why these measures are important to the organization.
Analyze how the Triple Aim/Quadruple Aim is represented in your chosen measures.
Explain how you displayed the measures. Justify your choice of display.
Provide a strategy for communicating the dashboard throughout the organization.
Explain how the dashboard could be used as a leadership tool to improve patient outcomes.