Apply statistics to different quality methods in healthcare.

 

Competency

Apply statistics to different quality methods in healthcare.

Course Scenario

Chaparral Regional Hospital is a small, urban hospital of approximately 60 beds, and offers the following:

  • Emergency room      services
  • Intensive care
  • Surgical care
  • Obstetrics
  • Diagnostic      services
  • Some      rehabilitation therapies
  • Inpatient      pharmacy services
  • Geriatric      services and
  • Consumer      physician referral services

Recently, the CEO has been hearing complaints from both patients and staff. You have been hired to design and implement a Quality Improvement Plan to help uncover quality problems and satisfactorily resolve them.

Scenario Continued

Your CEO has requested that you provide employee training on Quality Improvement. You have done an initial survey of patient satisfaction, and the CEO has asked you to explain how the data will be analyzed, using this initial data.

Given the variety of complaints coming from both employees and patients, it is critical for everyone to understand the importance of conducting the survey and obtaining solid data.

Question

Great   5

Good   4

OK   3

Fair   2

Poor   1

No   Response

Total

Facility and Convenience

Hours   of Operations

10

17

3

0

10

0

40

Convenience   of location

10

15

5

3

3

4

40

Cleanliness

11

14

8

4

3

0

40

Waiting   time in reception area

9

16

0

4

11

0

40

Comfort   while waiting

20

10

5

5

0

0

40

Staff

Explained   procedure

17

9

8

0

6

0

40

Questions   answered

11

15

7

2

3

2

40

Friendly   and helpful

21

5

5

7

2

0

40

Knowledgeable   and professional

6

21

4

3

3

0

40

Modesty   respected

12

14

8

0

6

0

40

Confidentiality   respected (HIPAA)

10

10

14

5

1

0

40

Overall Satisfaction

Overall   impression of visit

30

0

5

3

2

0

40

Willingness   to return

31

0

9

0

0

0

40

Likelihood   of referring to others

32

0

4

3

1

0

40

Respondents were also asked about their wait times. Here is the data on wait times:

Number responding

Wait time before being checked in   at Reception

4

10 minutes

16

15 minutes

8

20 minutes

12

25 minutes

Number responding

Wait time before being seen by a   healthcare professional

2

10 minutes

6

15 minutes

10

20 minutes

22

25 minutes

Instructions

You are to create an agenda for the training and a memo with bullet points to present the statistical analysis of the initial data. The memo should include an explanation of each of the statistical results. In particular, you should be able to explain what the results mean to the facility.

Determine the percentages of the following:

  • Percent who      responded with a 5 (Great) on “Overall impression of the visit”
  • Percent who      responded with a 2 (Fair) or 1 (Poor) on “Overall impression of the      visit”
  • Percent who responded      with a 5 (Great) on “Willingness to return”
  • Percent who      responded with less than 5 on “Willingness to return”
  • In the area of      “Facility and Convenience,” which indicator had the highest      percentage of 5 (Great) responses? Which had the lowest?
  • In the area of      “Staff,” which indicator had the highest percentage of 5 (Great)      responses? Which had the lowest?

What is the mean waiting time in the reception area?

What is the mean waiting time to see a healthcare professional?

Microsoft Word has many memo templates. In your memo, be sure to address each statistical analysis and what it means to the facility. Why ask these questions? How could the data be used for quality improvement?

NOTE – APA formatting, and proper grammar, punctuation, and form required.

 

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To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.

dentifying A Clinical Question

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic.

Purpose

To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.

Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search.

Guidelines

  1. Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide.
  2. Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and Finout-Overholt, 2015).
  3. Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search.

Assignment Expectations:

Length: 1000 – 1500 wordsStructure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of five (5) scholarly sources are required for this assignment to support the topic.

 

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Demonstrate some critical thinking surrounding which technique you feel would most likely use the future, if any. 

  • Acupuncture
  • Acupressure/Reflexology
  • Aromatherapy
  • Chiropractic medicine
  • Relaxation techniques (deep breathing, massage, progressive relaxation, tai chi, hot yoga)
  • Meditation (transcendental meditation, mantras, Bible passage, positive thought)

Post an original reflection that describes your experience with each technique you attempted.  Demonstrate some critical thinking surrounding which technique you feel would most likely use the future, if any.  Explain how your chosen techniques can be a part of the prevention, detection, and control of infectious and chronic conditions.  I am looking for you to provide substantial depth and detailed analysis regarding your experiences.

As an integral part of this assignment, you are also to find at least two credible, academic sources that support the effectiveness of the complementary and alternative techniques you experienced.  I want to see both the personal side, as well as the scientific.

Based upon the current chapter readings/lectures, personal experiences, worldview, and media/resources provided, you must comment on the specific reflection prompts- reflecting on how they relate to the weekly topic(s) and current society.  Posts should be thoughtful, insightful, and 250-500 words.  These posts should add significant substance to the conversation and clearly reference (i.e. cite) information from current chapter readings/lectures (please follow current APA guidelines for your in-text citations and references).

 

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Superior Essay Writers | New Zealand Constitutional Framework

What is the theory of separation of power and how is it achieved in New Zealand? In your own words, answer the question with reference to the specific operations of the three different branches of government.

Sample Solution

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Superior Essay Writers | Legislation – Interpretation and Application

Locate the Partnership Act 1908 on the New Zealand legislation website: http://www.legislation.govt.nz and answer the following questions below.

Required:

  1. What is the definition of Partnership? Refer to the relevant section of the Act in your answer and briefly summarise this in your own words.

[2 marks]

  1. Can partners in a partnership bind the firm through their actions? Refer to the relevant section of the Act in your answer.
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[2 marks]

  1. According the Partnership Law Bill, what is one type of relationship that is not a partnership?
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Question 3 (Learning Outcome Two) 10 Marks
Negligence – short essay

Describe in your own words the three elements required to establish a tort of negligence. Support each element with reference to the corresponding caselaw (refer to at least three different cases).

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Superior Essay Writers | Dismissal Meeting

Imagine that you are an office manager and you have been tasked with the job of coordinating and heading the dismissal meeting for an employee layoff.

Write a six to eight (6-8) page paper in which you:

  1. Propose three (3) ways that a manager can cope with any negative emotions that may accompany an employee layoff.
  2. Describe a step-by-step process of conducting the dismissal meeting.
  3. Determine the compensation that the fictitious company may provide to the separated employee.
  4. Using Microsoft Word or an equivalent such as OpenOffice, create a chart that depicts the timeline of the disbursement of the compensation.
  5. Predict three (3) ways that this layoff may affect the company.
  6. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
    Your assignment must follow these formatting requirements:
    • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
    • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
    The specific course learning outcomes associated with this assignment are:
    • Formulate HRM strategies and policies to recruit, select, place, and retain the most efficient and effective workforce.
    • Develop effective talent management strategies to recruit and select employees.
    • Design processes to manage employee performance, retention, and separation.
    • Analyze laws governing employment and how organizations can ensure ethical practices.
    • Use technology and information resources to research issues in strategic human resource development

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Discuss the current evidence that the MCH nurse should provide to Ashley, relating to the risks and benefits of the seasonal flu immunisation in infants, and the risks associated with refusing this immunisation. Identify and describe two (2) strategies the nurse could use to promote effective family-centered communication with parents who have concerns about immunisation.

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Superior Essay Writers | Positive message

Scenario 2: Tuition Reimbursement Program Announcement Employees often write informative messages to managers and co-workers. As the newest member of the HR Department at Bronco Jeans, you have been asked to create a messagenotifying all employees of a new educational reimbursement program. It will be sent asan email by the head of HR, and she has asked you to create the message and subject line only.Your message is graded with all of these criteria: matching message to purpose; choosing, developing, and ordering content; adapting to audience; and using English professionally.The case below is not well organized, contains negative language, and should be completely revisedto include an opening paragraph that sets context and contains the good news, middle sections grouped and shown as lists with informative headings, and a closing paragraph that contains contact information.CaseManagement at BroncoJeans has decided to encourage employees to take courses by reimbursing each eligible employee a maximum of $10,000 in tuition and fees during every calendar year. Anyone who wants to participate in the program must apply before the first class meeting; the application must be signed by the employee’s immediate supervisor. The Office of Human Resources will evaluate applications. The office has application forms;they can be picked up in person or printed from the HR website. Application forms have to be signed and turned in. The HR officealso has catalogs from nearby schools and colleges. After the completed form is submitted, the HR Office will notify the employee if it was OK via email. The employee must complete this process before starting classes.The only courses an employee may choose are those either related to his/her current position, a position in the company he/she might hold someday, or part of a job-related degree program. The coursesmusthelp his/her current position or qualify him/her for a promotion or transfer in BroncoJeans.Only tuition and fees are covered, not books or supplies. People whose applications are approved will be reimbursed when they have completed the course with a grade of C or better. An employee cannot be reimbursed until he or she submits a second copy of the approved application, an official grade report, and a statement of the tuition paid all back to the HR Officein paper form. The company will pay tuition and fees up to $10,000 each year. It will take 4-6 weeks for the claim to be processed and appear in the person’s paycheck. The proceeds are not taxable and will appear as a reimbursement item on the paycheck stub.Part-time employees are not eligible; full-time employees must work at the company three months before they can apply to participate in the program. Courses may be at any appropriate level (high school, college, graduate school, trade or vocational school).

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Superior Essay Writers | Negative message

Congratulations! You have received two job offers, and now you are faced with letting one company know you will not be accepting their offer, even though you would prefer to work for them, because the other offer is better. Write a message in indirect style: buffer opening, carefully chosen and explained reasons with full details about the other company and the offer it’s making, then bad news, then positive close. Include an alternative if you hope for a counteroffer or want to refer a friend.

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