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Case Study: Promoting Health Care
NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Case Study: Promoting Health Care
In this course, you develop a comprehensive Course Project: Promoting Health Care
Quality. To initiate this project, this week you examine the systems and structures of an
organization with which you are familiar.
Organizational Systems and Structures, Part 1
Section 1: Organizational Systems and Structures Evaluation
When a problem related to health care quality and patient safety arises, there can be an
inclination to focus on a specific event rather than to examine the larger context
surrounding it. Analyzing the systems and structures within an organization provides a
foundation for generating a fuller understanding of how and why the event occurred and
for developing strategies to address the underlying issues. Perhaps more importantly,
such an analysis can be used to proactively identify potential challenges and improve
organizational systems and structures in order to promote positive outcomes.
In the first section of your Course Project, you analyze the systems and structures of a
health care organization with which you are familiar.
To prepare:
Identify a health care organization with which you are familiar; one that you will be
able to sufficiently analyze to complete the full scope of the Course Project. (Refer to
the Course Project Overview as needed.)
Select two or more of the following frameworks:
· Learning organizations
· Complex adaptive systems (CAS)
· Clinical microsystems
· Good to great
· The 5 Ps
With these frameworks in mind, analyze the systems and structures of the
organization. Be sure to research and consider:
· Mission, vision, and values
· Strategic plan, goals, and objectives, if possible
· Key operational processes and patterns
· Information technology use
· Organizational priorities and investments, as indicated by financial data
Week 4: Organizational Systems and Structures, Part 2
Section 1: Organizational Systems and Structures Evaluation
As you continue your evaluation of a health care organization, it is essential to pay
attention to culture. Organizational culture provides the context in which all interactions
and processes occur and is therefore central to any effort to enact change.
To prepare:
Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of
the Course Project).
Continue to analyze essential elements of organizational culture and evaluate the
influence of culture on the ability to achieve goals within your selected organization.
To complete:
Write a 3- to 5-page paper in which you:
· Provide a description of the organization that you selected
· Present your analysis of the organization with attention to:
· Its mission, vision, values
· Strategic plan, goals, and objectives
· Key operational processes and patterns
· Information technology use
· Organizational priorities and investments, as indicated by financial data
· The essential elements of the organization’s culture
· The influence of culture on meeting organizational goals
Section 2: Quality Improvement Issue
To help you move forward with your Course Project, this week you identify a quality
issue that you would like to address and submit a description of this issue for Instructor
feedback.
Your proposed issue should reflect a genuine need for improvement within your
selected health care organization. Through your Course Project, you will analyze this
issue and propose strategies to improve outcome(s), including the redesign of a related
process.
To prepare:
· Review the six quality improvement aims from the Institute of Medicine (IOM)
· Safe: Avoiding harm to patients from the care that is intended to help them.
· Effective: Providing services based on scientific knowledge to all who could benefit and refraining from providing services to those not likely to benefit (avoiding underuse and misuse, respectively).
· Patient-centered: Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
· Timely: Reducing waits and sometimes harmful delays for both those who receive and those who give care.
· Efficient: Avoiding waste, including waste of equipment, supplies, ideas, and energy.
· Equitable: Providing care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
· Conduct a search of the literature to help you identify a specific issue that warrants attention and action to promote quality improvement.
· Consider what you have surmised thus far through your analysis of the organization
that you selected. What have you noticed that could help you identify a quality related need for improvement? For instance:
· What has captured your attention in meetings, reports, and/or daily activities?
· Have you noticed discrepancies between activities in the organization and
recommendations in the research literature, quality standards, and/or the
organization’s stated policies and procedures?
· If so, what do you think could be the reason(s) for variations or gaps between
what you have observed and what is recommended?
Identify a quality improvement issue that you would like to investigate for this project.
Note: Review the Course Project Overview/full instructions, located in the Week 3
Learning Resources, as needed to identify a quality improvement issue that is viable for
completing the full scope of this project. Once you receive a response from your
Instructor on the quality improvement issue that you submit, be sure to integrate his or
her feedback before moving forward with Section 3 of your Course Project.
To complete:
Write a brief description of the quality improvement issue that you would like to address
for your Course Project.
Excellent |
Good | Fair | Poor | |||
RESPONSIVENESS TO DISCUSSION QUESTION Discussion post minimum requirements: *The original posting must be completed by Wednesday, Day 3, at 11:59pm MST. Two response postings to two different peer original posts, on two different days, are required by Saturday, Day 6, at 11:59pm MST. Faculty member inquiries require responses, which are not included in the minimum number of posts. Your Discussion Board postings should be written in standard edited English and follow APA style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s Learning Resources as well as resources available through the Walden University online databases. Refer to the Essential Guide to APA Style for Walden Students to ensure your in-text citations and reference list are correct. | 8 (26.67%) – 8 (26.67%)
Discussion postings and responses exceed the requirements of the Discussion instructions. They: Respond to the question being asked or the prompt provided; – Go beyond what is required in some meaningful way (e.g., the post contributes a new dimension, unearths something unanticipated); -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence. – Demonstrate significant ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning -Resources as well as additional resources and has read, viewed, or considered a sampling of colleagues’ postings; -Exceed the minimum requirements for discussion posts*. |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses meet the requirements of the Discussion instructions. They: -Respond to the question being asked or the prompt provided; -Are substantive, reflective, with critical analysis and synthesis representative of knowledge gained from the course readings and current credible evidence.re -Demonstrate ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Demonstrate that the student has read, viewed, and considered the Learning Resources and has read, viewed, or considered a sampling of colleagues’ postings -Meet the minimum requirements for discussion posts*. |
6 (20%) – 6 (20%)
Discussion postings and responses are minimally responsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or -May (lack) lack in depth, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence; and/or -Do not adequately demonstrate that the student has read, viewed, and considered the Learning -Resources and/or a sampling of colleagues’ postings; and/or has posted by the due date at least in part. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not meet the minimum requirements for discussion posts*. |
0 (0%) – 5 (16.67%)
Discussion postings and responses are unresponsive to the requirements of the Discussion instructions. They: – do not clearly address the objectives of the discussion or the question or prompt; and/or – Lack in substance, reflection, analysis, or synthesis but rely more on anecdotal than scholarly evidence. – Lack ability to generalize and extend thinking and evaluate theories or concepts within the topic or context of the discussion. -Do not demonstrate that the student has read, viewed, and considered the Learning Resources and/or a sampling of colleagues’ postings; and/or does not meet the minimum requirements for discussion posts*. |
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CONTENT KNOWLEDGE | 8 (26.67%) – 8 (26.67%)
Discussion postings and responses: -demonstrate in-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; – are well supported by pertinent research/evidence from a variety of and multiple peer- reviewed books and journals, where appropriate; -Demonstrate significant mastery and thoughtful/accurate application of content, applicable skills or strategies presented in the course. |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses: -demonstrate understanding and application of the concepts and issues presented in the course, presented with some understanding and application of concepts and issues presented in the course (e.g., insightful interpretations including analysis, synthesis and/or evaluation of topic; -are supported by research/evidence from peer-reviewed books and journals, where appropriate; and · demonstrate some mastery and application of content, applicable skills, or strategies presented in the course. |
6 (20%) – 6 (20%)
Discussion postings and responses: – demonstrate minimal understanding of concepts and issues presented in the course, and, although generally accurate, display some omissions and/or errors; –lack support by research/evidence and/or the research/evidence is inappropriate or marginal in quality; and/or lack of analysis, synthesis or evaluation of topic – demonstrate minimal content, skills or strategies presented in the course. ——-Contain numerous errors when using the skills or strategies presented in the course |
0 (0%) – 5 (16.67%)
Discussion postings and responses demonstrate: -A lack of understanding of the concepts and issues presented in the course; and/or are inaccurate, contain many omissions and/or errors; and/or are not supported by research/evidence; and/or lack of analysis, synthesis or evaluation of topic -Many critical errors when discussing content, applicable skills or strategies presented in the course. |
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CONTRIBUTION TO THE DISCUSSION | 8 (26.67%) – 8 (26.67%)
Discussion postings and responses significantly contribute to the quality of the discussion/interaction and thinking and learning by: -providing Rich and relevant examples; discerning and thought-provoking ideas; and stimulating thoughts and probes; – -demonstrating original thinking, new perspectives, and extensive synthesis of ideas supported by the literature. |
7 (23.33%) – 7 (23.33%)
Discussion postings and responses contribute to the quality of the discussion/interaction and thinking and learning by -providing relevant examples; thought-provoking ideas – Demonstrating synthesis of ideas supported by the literature |
6 (20%) – 6 (20%)
Discussion postings and responses minimally contribute to the quality of discussion/interaction and thinking and learning by: – providing few and/or irrelevant examples; and/or – providing few if any thought- provoking ideas; and/or -. Information that is restated from the literature with no/little demonstration of critical thinking or synthesis of ideas. |
0 (0%) – 5 (16.67%)
Discussion postings and responses do not contribute to the quality of interaction/discussion and thinking and learning as they do not: -Provide examples (or examples are irrelevant); and/or -Include interesting thoughts or ideas; and/or – Demonstrate of critical thinking or synthesis of ideas |
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QUALITY OF WRITING | 6 (20%) – 6 (20%)
Discussion postings and responses exceed doctoral -level writing expectations. They: · Use grammar and syntax that is clear, concise, and appropriate to doctoral level writing; · Make few if any errors in spelling, grammar, and syntax; · Use original language and refrain from directly quoting original source materials; -provide correct APA · Are positive, courteous, and respectful when offering suggestions, constructive feedback, or opposing viewpoints. |
5 (16.67%) – 5 (16.67%)
Discussion postings and responses meet doctoral -level writing expectations. They: ·Use grammar and syntax that is clear and appropriate to doctoral level writing; ; · Make a few errors in spelling, grammar, and syntax; · paraphrase but refrain from directly quoting original source materials; Provide correct APA format · Are courteous and respectful when offering suggestions, constructive feedback, or opposing viewpoints;. |
4 (13.33%) – 4 (13.33%)
Discussion postings and responses are minimally below doctoral-level writing expectations. They: · Make more than occasional errors in spelling, grammar, and syntax; · Directly quote from original source materials and/or paraphrase rather than use original language; lack correct APA format; and/or · Are less than courteous and respectful when offering suggestions, feedback, or opposing viewpoints. |
0 (0%) – 3 (10%)
Discussion postings and responses are well below doctoral -level writing expectations. They: · Use grammar and syntax that is that is unclear · Make many errors in spelling, grammar, and syntax; and –use incorrect APA format · Are discourteous and disrespectful when offering suggestions, feedback, or opposing viewpoints. |
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Total Points: 30 | ||||||