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Data Analysis and Quality Improvement Initiative Proposal

The operations of a healthcare sector depend on data analysis and proposal for a quality improvement project to identify problems and potential opportunities. The methods of data collection and analysis may go a long way towards educating practitioners as to their activities and the performance they deliver to their clients. Perhaps, it could explain how treatment can be made to be better offered. Such effort is important since it helps the health care providers to diagnose flaws on operational efficiency, health care quality, and safety of patients. NURS FPX 6016 Assessment 3 Health care practitioners and providers may maintain with an industry’s marketplace and practice benchmarks by continually assessing and reviewing data, thereby improving patients’ quality of care and treatment. Therefore, it is crucial to form the first and genuinely fundamental step towards enhancing the medical operations and, consequently, patients’ treatment – the creation of a data analysis and quality improvement program (Li et al. , 2021).

NURS FPX 6016 Assessment 3 Data Analysis and Identification

The following graph presents the facility indicators for four hospice care standards in the 2020 and 2021 AHRQ reportable categories. The first measure is calculated with the help of the survey carried out among hospice patients in which they were asked whether they feel valued and respected by caregivers on a regular basis. Calculations of this level demonstrate that hospice care teams prioritise patients’ care, as it rose to 80 per cent in 2021 from 78 percent in 2020.

The second criterion is based on hospice patients who were often told by the facility’s care staff on how best their families could support them. Indications roughly show a slight drop from 78 percent in 2020 to 75 percent in 2021. Family caregivers must be made aware of the patient’s care plan since they will be the main caregivers for the patient; therefore, there is a need to foster communication. This implies that the family caregivers and persons who work with hospice may not be communicating properly (Lu & Zhang, 2019).

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Regarding the third standard, patients who received an adequate amount of interventions or help with pain, grief, breathing, or constipation from the hospice care team on a regular basis are the patients who are considered for this criteria. It increased a little, from 68% in 2020 to 65% in 2021 with regards to the number of people who attained their goals. Such an enhancement proves that hospice care providers are giving more attention to the needs of their patients.

This is the fourth criterion where only the patients and the family caregivers who constantly received appropriate assistance from the hospice care team are considered for the study. The statistics depict it as having reduced from 70% in the year 2020/2021 to 68% the subsequent year. NURS FPX 6016 Assessment 3 Hospice care providers should ensure that treated patients and family caregivers are treated as soon as possible. For this reason, the treatment is likely to be delayed, hence this study aims at identifying the determinants of treatment-seeking behavior among Kenyan patients with hypertension.

Outcome Measures

The following graph presents the facility indicators for four hospice care standards in the 2020 and 2021 AHRQ reportable categories. The first measure is calculated with the help of the survey carried out among hospice patients in which they were asked whether they feel valued and respected by caregivers on a regular basis. Calculations of this level demonstrate that hospice care teams prioritize patients’ care, as it rose to 80 percent in 2021 from 78 percent in 2020.

Regarding the third standard, patients who received adequate amount of interventions or help with pain, grief, breathing, or constipation from the hospice care team on a regular basis are the patients who are considered for this criteria. NURS FPX 6016 Assessment 3 increased a little, from 68% in 2020 to 65% in 2021 with regard to the number of people who attained their goals. Such an enhancement proves that hospice care providers are giving more attention to the needs of their patients.

Evaluation of Data Quality

This is the fourth criteria where only the patients and the family caregivers who constantly received appropriate assistance from the hospice care team are considered for the study. The statistics depict it as having reduced from 70% in the year 2020/2021 to 68% the subsequent year. Thus, hospice care providers should ensure that treated patients and family caregivers are treated as soon as possible. For this reason, the treatment is likely to be delayed, hence this study aims at identifying the determinants of treatment-seeking behavior among Kenyan patients with hypertension.

Hospice Data 2020–2021 study comprises accurate and credible data and facts. The data is presented systematically accompanied by percentages of the four hospice-related AHRQ reportable standards. It is also feasible for an analyst with two years’ focus on a specific market to draw meaningful conclusions from comparisons and time series analysis. Moreover, with regards to the data collection and reporting, these set of guidelines have ensured that data collected are standardized hence making it easier for two or more institutions to compare their data. The overall picture regarding the data quality is somewhat vague though, which makes it hard to get a clear idea regarding the approaches used in data collecting and processing. Anyhow, it appears that the study provides meaningful data on the identification of the factors that can help evaluate the hospice care teams’ performance and make efforts to improve the quality of care (Fowler et al., 2021).

Quality Improvement Initiatives

Of the four reportable hospice care standards introduced in Hospice Data 2020–2021, published by the AHRQ, all of them align with today’s quality improvement measures and ideals set by federal and state healthcare laws and regulations. As reported by Zheng et al. (2019), hospice providers face legal obligations to follow the CMS HQRP and report on multiple quality indicators concerning patients’ care and satisfaction. This means that these benchmarks relate to these standards.

The following Quality Improvement Initiative to promote Hospice Care at a Facility will involve the adoption of the Plan-Do-Study-Act (PDSA) paradigm. NURS FPX 6016 Assessment 3 paradigm is commonly applied in initiatives targeted at enhancing healthcare quality. PDSA stands for Plan, Do, Study, and Act and these are strategies of the methodology. The identification of the problem and the definition of how exactly to address it are part of the planning process. The do stage is simply implementing the laid down strategy, literally doing it. Analyzing the results of the execution is the scope of the basic research phase. The last active phase is to adjust it in one way or the other and it is continued until the desired result is achieved. By using the PDSA model, one can cycle through the model and may find ways of improving the model and achieving endless improvement.

NURS FPX 6016 Assessment 3 Hospice Related QI Program

Apparently, there are numerous hospice–related QI programs, federal and state which include CMS HQRP and other QI programs. , which Hunt et al. (2023) said they need to do even more to point out where specifically organizations must adapt. Therefore, it becomes imperative to seek for areas to enhance by reflecting on the findings of Hospice Data 2020-2021. According to the presented data, some of the areas that may effectively be developed are, NURS FPX 6016 Assessment 3 hospice care, three essential and interrelated factors can be identified that might be improved based on the presented data: Shortening of the time that it takes to provide care to patients and their families; Improving the process of managing patients’ pain; and; Strengthening communication between hospice care teams and family caregivers of patients (Kruse et al., 2021).

Evidence-Based Strategies

To enhance the standard of hospice care, there are a number of methods supported by evidence, such as: To enhance the standard of hospice care, there are a number of methods supported by evidence, such as:

Supporting communication between hospice care teams, patients, and families by checking the needs of patients and their families more often, and explaining the existing treatment options.
The management of pain treatment should involve establishing format procedures that are to be followed to address pain, which should entail both medicine and other forms of treatment such as massage, acupuncture, meditation among others (Li et al. , 2021).
The development of a comprehensive care team for the patient and the patient’s family which will include medical professionals, nurses, social workers chaplains, and other specialists. 5.
Ensuring that proper training and education is provided for hospice workers thus enabling them to provide the best information on patient and families’ care (NURS FPX 6016 Assessment 3 ).

Due to the availability of pre-existing frameworks from other institutions, government agencies and non-governmental organizations, the assessment of quality improvement projects, associated with hospice care, requires evaluation of measures from those frameworks. Some samples of the hospice-related quality measures are the hospice visits in the last months of the life, the NURS FPX 6016 Assessment 3 pain management, the hospice and palliative care: composite process measure are all included in the CMS HQRP. The use of benchmarks is effective for analyzing problem areas and trends in the progress of a facility’s care quality because these statistics can be compared with similar statistics on a national level. Lotfi et al. also revealed that more quality measures can be possibly provided by the Joint Commission or the National Hospice and Palliative Treatment Organization to improve hospice care.

NURS FPX 6016 Assessment 3 Knowledge Gaps

Therefore, the questions to which answers are not known can be classified as gaps in the knowledge or areas of uncertainty that may be present in any proposal of improving the quality of any work. For instance, there may be a situation when the conditions laid down in the planned project cannot be backed up by sufficient facts and assumptions. Sometimes, research may be needed to identify the beginning of the problem or the effectiveness of the solution. Challenges to the efficiency and sustainability of the initiative, be it in terms of resources, stakeholders’ engagement, and other barriers may also be raised. Thus, it is crucial to identify such unknowns to address them and ensure the focus on the plan through monitoring and assessing it occasionally (Wolff et al., 2019).

Interprofessional Prospective

Interprofessional views are rather essential in guiding the healthcare quality improvements as many specialists from different domains work together and share their expertise. Such team participants may involve doctors, nurses, social workers, chaplains and other personnel of Hospice Data 2020–2021, and any related quality improvement plans. To ensure that the above initiative would work as planned, this expert would be solely responsible. A chaplain would provide support to patient’s spiritual well-being; a social worker would assist the patient with their psychological/emotional requirements; a doctor would diagnose the patient and coordinate the medical management of their treatment; and nurses would assess and manage the patient’s symptoms when necessary (Donnelly et al. , 2019).

In order to assemble properly the entire team that is to be involved in the process it may be useful to establish clear channels of communication and respect between the members of a group. Thus, there can be frequent planned events of discussing patient’s status and identifying issues, for instance, meetings can be held. The intellectual capital of all the team members would be unlocked and everyone would want to share the information and ideas. NURS FPX 6016 Assessment 3 transparent within the group and monitor the progress of the work, everyone should select a team leader (Goldman et al. , 2020).

NURS FPX 6016 Assessment 3 system might combine both the nursing and the non-nursing concepts. For example, it could suitably implement Lean Six Sigma which is meant for promoting reduction of waste and enhancement of the efficiency of the processes. Health care teams could leverage these ideas to improve patients’ experience, cut costs and make processes more efficient. I also find it important to involve the patient and seek for his/her opinions and suggestions in the context of improvement as well as consider the patient’s perspective. The abovementioned method, as claimed by Singh et al. (2018), would ensure that the program is patient-centered and lead to remarkable and sustainable changes to patients’ health.

Reflection of Proposed Initiative on Nursing Staff

It is the sudden planned innovations in hospice care which will probably change drastically the quality of life for nurses and other members of the interdisciplinary team. Nurses and other healthcare workers may be able to reduce some of the physical and psychological stress and load on their bodies and souls by correcting communication issues, pain, and timely responses to patients and their families’ needs. Depending on the staff’s increased job satisfaction and work-life balance improvements, patients’ treatment quality might also increase. Perhaps, enhancing the work environment involving the interdisciplinary team by presenting more collaboration and support sources and, subsequently, better job satisfaction and minimizing burnout can help contribute to the goal. It may have a positive impact on patient input and patients’ contentment with care received, which, consequently, will uplift the morale of the nursing and other related personnel interprofessional teams (De Baetselier et al. , 2021).

Assumptions

It is the set of fundamentals on which a quality improvement initiative is presupposed to be created. The suggested initiative works on the basis of these assumptions, which are basic because they control the strategic and tactical processes. Some of the assumptions include the effectiveness of specific interventions, staff involvement, rigorous backing from the organizational leaders, and availability of various resources to fuel the quality improvement campaign. Thus, the efficacy of the effort is contingent on the discovery and confirmation of such assumptions. If the quality improvement team acknowledges these assumptions and tests them using data and stakeholders’ feedback, then the implementation of the care strategies proposed by the team may be more effective (Donnelly et al. , 2019).

Communication Strategies

When members of the interprofessional team are able to understand each other and communicate appositively, it circulates round the entire team. The second area identified in the process of organising an interprofessional team is the identification of sub-goals, which involves the assignment of responsibilities and defining expectations towards team members. This may include the use of tools such as the Situation, Background, Assessment, and Recommendation (SBAR) for clinical hand offs, Section and established modes of communication, documented agreements, daily huddles and so on (Dalky et al. , 2020).

Another good communication strategy is to ensure that members listen actively and honesty is practiced in the course of communication. Perhaps, the use of the regular feedback instruments to monitor and improve communication efficiency and the seminars/training sessions on communication abilities would do this.

It would be advantageous to list all the possible enhancements in interprofessional communication such as verbal, vocal, and visual. NURS FPX 6016 Assessment 3 technique that can be used to help team members from different backgrounds interact is if one has to address the others in a language that has drawings or simple diagrams and flowcharts (Davidson et al. , 2022).

In the last place it’s important to note the fact that developing and encouraging successful communication among people within the team presupposes the creation of contacts and, thus, trust. In order to accomplish this, healthcare professionals and other personnel from various fields could come together for group activities like team bonding or actual observing the actual work procedures of each team so then they can better understand each other and how to come to a decision together (Ghosh et al. , 2021).

Assumptions

Several assumptions can be made concerning the proposed quality improvement project. First, we will act for a while as if the data is really representing things as they stand with hospice care in the current world. It assumes that data is collected properly and is also inclusive; the measures being used are accurate and are relevant to the hospice context. The second assumption is that the provision of the above suggested remedy would greatly improve the quality of care at the hospice care facility. It assumes that the solutions to be offered are genuine and will give the expected outcomes. Thirdly, we wish the inter professional team were completely supportive of the plan formulated and assist in actualizing it. Finally, the plan assumes that the members of the team are in the position to be able to easily communicate and collaborate and all barriers to this laid to waste. Based on the following assumptions the outlined effort is proposed; if these do not hold; the success of the project may be sacriﬁced (Yetti et al. , 2021).

Conclusion

In NURS FPX 6016 Assessment 3 hospice Data 2020–2021 Based on the four AHRQ reportable benchmarks and the Facility Metrics under each, areas of weakness and potential specific to the four benchmarks would be established to inform the upcoming quality improvement program. The purpose of the research is to enhance the understanding on the quality of hospice care services. Its objectives include improved symptom control, early response for the patients and their families, improved communication between the care team and the family caregivers and improved patients’ experience. As the success of the initiative lies in the idea that by showing that better work-life quality is possible, work-force of healthcare can be positively influenced through interprofessional collaboration. The endeavour will enable the team to successfully achieve the intended objectives on a continuous basis by implementing EBPs and the PDSA cycle.

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