The final project for this course is the creation of a quality plan—also known as a performance improvement plan—for a healthcare organization. You may develop this plan for an acute-care facility, a same-day surgery facility, an ambulatory care organization, a clinic setting, a long-term care facility, or some other type of healthcare organization you may be familiar with given your own professional healthcare work experience. In addressing the critical elements for this assignment, all APA formatting and citation requirements apply. Further, as this is a scholarly initiative, you must use peer-reviewed or evidence-based sources for this assignment. Data may be derived from public healthcare databases, or you may use data from your own healthcare organization. The final product represents an authentic demonstration of competency because quality plans are used as tools by healthcare facilities to provide frameworks for collaboratively planned, systematic, and organization-wide approaches to improvement. These quality plans are always kept on-site, updated yearly, and reviewed by surveyors and accreditors. The following critical elements must be addressed:  I. Purpose and Quality Statement: In this section, you will define patient safety and the purpose of a quality plan. A. Explain the purpose of implementing a quality plan. In your explanation, consider how accreditation standards drive an organization’s patient safety and quality initiatives.  B. Determine the healthcare organization’s commitment to patient safety and quality. Consider the mission statement and policies of the organization to guide your answer.  C. Describe the various stakeholder groups that have a vested interest in the performance-improvement process (e.g., nursing leadership, departmental directors). Consider utilizing an organizational chart to depict these stakeholders.  D. Develop a quality statement that outlines the objectives of the quality plan.   II.   Status of Quality Tools and Standards: In this section, you will review the status of the information management system and accreditation.   1.  Describe the current status of accreditation based on recent accreditation survey reports.   2.  Analyze the current information management systems and patient care technologies for their ability to collect data used to report quality measures and accreditation requirements. Are these systems and technologies adhering to the appropriate policies and regulations to meet the needs for accreditation and compliance?   3.  Explain the impact of meaningful-use implementation at the organization as it pertains to patient safety and quality.   III.   Measures and Benchmarks: In this section, you will identify and evaluate the metrics that can be used to measure quality and patient safety at your organization.   1.  Outline how current performance-improvement data and initiatives are tracked through the organization, starting at the department le.

1. The final project for this course is the creation of a quality
plan—also known as a performance improvement plan—for a
healthcare organization. You may develop this plan for an
acute-care facility, a same-day surgery facility, an ambulatory
care organization, a clinic setting, a long-term care facility, or
some other type of healthcare organization you may be familiar
with given your own professional healthcare work experience.
In addressing the critical elements for this assignment, all APA
formatting and citation requirements apply. Further, as this is a
scholarly initiative, you must use peer-reviewed or evidence-
based sources for this assignment. Data may be derived from
public healthcare databases, or you may use data from your own
healthcare organization. The final product represents an
authentic demonstration of competency because quality plans
are used as tools by healthcare facilities to provide frameworks
for collaboratively planned, systematic, and organization-wide
approaches to improvement. These quality plans are always kept
on-site, updated yearly, and reviewed by surveyors and
accreditors.
The following
critical elements
must be addressed:
I.
Purpose and Quality Statement:
In this section, you will define patient safety and the purpose
of a quality plan.
A. Explain the
purpose
of implementing a quality plan. In your explanation, consider
how accreditation standards drive an organization’s patient
safety and quality initiatives.

2. B. Determine the healthcare organization’s
commitment
to patient safety and quality. Consider the mission statement
and policies of the organization to guide your answer.
C. Describe the various
stakeholder groups
that have a vested interest in the performance-improvement
process (e.g., nursing leadership, departmental directors).
Consider utilizing an organizational chart to depict these
stakeholders.
D. Develop a
quality statement
that outlines the objectives of the quality plan.
II.
Status of Quality Tools and Standards:
In this section, you will review the status of the information
management system and accreditation.
1. Describe the current
status of accreditation
based on recent accreditation survey reports.
2. Analyze the current
information management systems
and patient care technologies for their ability to collect data
used to report quality measures and accreditation requirements.
Are these systems and technologies adhering to the appropriate
policies and regulations to meet the needs for accreditation and
compliance?
3. Explain the impact of
meaningful-use

3. implementation at the organization as it pertains to patient
safety and quality.
III.
Measures and Benchmarks:
In this section, you will identify and evaluate the metrics that
can be used to measure quality and patient safety at your
organization.
1. Outline how current
performance-improvement data
and initiatives are tracked through the organization, starting at
the department level. Consider using a visual aid to depict this
through specific types of data.
2. Compare how the organization is doing in key safety
measures using appropriate
benchmark data
.
3. Analyze the metrics to determine if the healthcare
organization demonstrates
compliance
for accreditation standards.
4. Explain how reimbursement data is used to identify
patient safety and quality issues
. Consider the role of core measures in your response.
5. Explain the
impact of reimbursement data
on the accreditation status.
6. Describe the impact of reimbursement
policies
on patient safety and quality initiatives.

4. 7. Discuss how
leadership
is involved in the dissemination and application of quality data
at this healthcare organization.
IV.
Process Improvements:
In this section, you will develop specific actions to address
your analysis of key patient safety and quality metrics.
1. Summarize
recommendations
based on the analysis of the current organization.
2. Develop
goals
based on the evaluation of the current organization quality
measurements and improvement needs.
3. Recommend
new technology
that could improve one of the patient safety or quality concerns
identified in Sections II and III. Explain your recommendation.
4. Describe
leadership strategies
that are needed to ensure stakeholder and community input into
the quality program.
5. Recommend a
policy change
to solve the patient safety and quality issues identified.
Consider what stakeholders you would need to collaborate with
to execute the policy changes.

5. V.
Evaluation and Reporting:
In the last section, you will develop a timeline and make
recommendations for evaluating and reporting key measures of
success to stakeholders and accrediting bodies.
A. Create an evaluation plan using principles from
Plan-Do-Study-Act (PDSA).
Include a project timeline in your plan.
B. Justify a
timeline
for evaluation of performance-improvement activities. Consider
using a visual aid.
C. Explain how to measure the successful implementation of
the
new technology
suggested in the Process Improvements section.
D. Describe the changes to the processes for managing data
within the organization for
accreditation
reporting.
Guidelines for Submission:
Your quality plan should be 10 to 12 pages in length (plus a
cover page and references) and written in APA format. Use
double spacing, 12-point Times New Roman font, and one-inch
margins. Include at least five references cited in APA format.