WEEK 5 DISCUSSION- MEASUREMENT SYSTEMS AND METHODS

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MEASUREMENT SYSTEMS AND METHODS

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You are a DNP-prepared nurse working at a hospital focused on improving patient satisfaction. After receiving care at your hospital, patients are provided a scorecard to survey their patient experience. The patient surveys range in questions from wait time to effectiveness of care, and these surveys provide your hospital with a scorecard indicating how the hospital is performing against these metrics. Upon reviewing the scorecards, you are able to highlight areas of improvement and areas of success, however, you find the responses are often difficult to analyze, as there are a wide range of responses, and there are many variables.The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:
Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.
Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.
Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.
Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.
Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.
Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not?
BY DAY 3 OF WEEK 5

Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.

LEARNING RESOURCES
Required Readings
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
Chapter 9, “The Patient Experience” (pp. 233–251)
Centers for Medicare and Medicaid Services. (2020). HCAHPS: Patients’ perspectives of care surveyLinks to an external site.. https://www.cms.gov/Medicare/Quality-Initiatives-P…
Walden University, LLC. (2021). DNP Project Faculty advisor and site identification—matching request formLinks to an external site.. https://laureateone.my.salesforce-sites.com/form
Document: Organization Meeting Summary (Word document)


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NURS 8302 Leading Organizations for Quality Improvement Initiatives
Practicum Assignment: Organization Meeting Summary
Preparation to begin your DNP Project begins with a meeting with an organization to explore a
gap in practice or a practice change that you might address as your DNP Project. Preparing for
this meeting includes following the instructions in your NURS 8302 course and reviewing the
guidelines for your practicum assignment 1. Address the following in a 4–5-page paper using
the APA 7 template for writing graduate papers found at
https://academicguides.waldenu.edu/writingcenter/templates/general
Introduction





Identify the organization, location, and participants at the meeting. Indicate the role each
person plays in the organization.
How did you first approach the organization?
Why did you select this organization?
Does the organization have a key person for the organization who oversees students
doing DNP projects?
If there is no key person, who represented nursing and/or nursing students at the
meeting.
Describe the DNP Project







Describe exactly what you did to explain the DNP project process at Walden University.
What questions did the participants have and how did you respond?
How did you and the organization identify possible gaps in practice or practice changes
that might be addressed by the DNP project.
Describe the gap or problem and cite two sources that justify the gap or problem in
nursing.
What approach (clinical practice guideline, staff education, quality improvement initiative)
did you discuss to address a practice gap or practice change?
What questions did the organization representatives have, and what were your
responses?
How does the proposed practice change support positive social change, diversity,
equity, and inclusion?
Project Team

Who would be the key stakeholders and potential team members (e.g. organization
leader, project mentor) for a project to address gap in practice or practice change?
Next Steps




Describe the information that you provided to the organization regarding the next steps
in the process.
What questions were asked?
What responses did you have?
What decisions were made?
Evidence
Explore three sources of current evidence (no older than five (5) years) that could support the
project initiative. You may include the two citations you cited under the Describe the DNP
Project section.
Citation
Evidence Type
Sample, Sample
size, Setting
Findings that help address the gap
in practice or practice change
Summary



Summarize the strengths and weaknesses of the meeting.
What would you have done differently?
What additional information do you need before you meet with your faculty advisor in
NURS 8702, project mentoring course.

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