Data Review Project Proposal

Construct a draft proposal for your project, and integrate it with the organizational balanced scorecard model. There is no page limit for this assessment.

Note: Each assessment of your capstone project is built on the work you have completed in previous assessments. Therefore, you must complete the assessments in this course in the order in which they are presented.

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Writing a project proposal is an essential skill for leaders. Presenting a proposal to senior executives requires that you identify the problem, the value to the organization of solving the problem, the relevant aspects of the problem, and your recommendations for action. Your recommendations should be conveyed in a concise but thorough manner, retaining the essential information needed by the decision makers.

This assessment provides an opportunity for you to draft a proposal for your capstone project, which you will have to present to the prospective client.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

·

Competency 1: Transformation: Facilitate a change process that effectively involves patients, communities, and professionals in the improvement and delivery of health care and wellness.

· Choose a framework appropriate for examining the type of data under investigation.

· Develop proposed structures for the visual display of summarized raw data.

· Competency 2: Execution: Translate strategy to develop and maintain optimal organizational performance in health care settings.

· Explain how a project addresses and adds value to each of the four areas of an organizational balanced scorecard.

· Combine clear, coherent, and original writing, in APA style, with relevant and credible evidence from the scholarly and professional literature.

Competency Map

Check Your Progress

Use this online tool to track your performance and progress through your course.

Resources

Required Resources

·

Data Review Project Proposal Template [DOCX]

.

·

Balanced Scorecard

Example [DOCX].

This webpage resource provides information on the steps to creating a balanced scorecard.

· Balanced Scorecard Institute. (n.d.).

Building and implementing a balanced scorecard: Nine steps to success

. Retrieved from http://balancedscorecard.org/Resources/The-Nine-Steps-to-Success

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Suggested Resources

The resources provided here are suggested for your reading. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that the resources that you choose are appropriate, credible, and valid. The

MHA-FP5020 Health Administration Capstone Library Guide

can help direct your research.

Balanced Scorecard

The articles in this Balanced scorecard section provide useful and professionally relevant information about the balanced scorecard model which may help you in drafting your project proposal in this assessment.

· Behrouzi, F., Shaharoun, A. M., & Ma’aram, A. (2014).

Applications of the balanced scorecard for strategic management and performance measurement in the health sector

. Australian Health Review, 38(2), 208–217.

· Kaplan, R. S., & Norton D. P. (1992).

The balanced scorecard: Measures that drive performance

. Harvard Business Review, 70(1), 71–79.

· Kaplan, R. S., & Norton D. P. (1996).

Using the balanced scorecard as a strategic management system

. Harvard Business Review, 74(1), 75–85.

· Kaplan, R. S., & Norton, D. P. (2004).

Measuring the strategic readiness of intangible assets

. Harvard Business Review, 82(2), 52–63.

Project and Topic Examples

This article examines the role of IT with regard to patient flow in hospitals and the implications for efficiency and performance.

· Devaraj, S., Ow, T. T., & Kohli, R. (2013).

Examining the impact of information technology and patient flow on healthcare performance: A theory of swift and even flow (TSEF) perspective

. Journal of Operations Management, 31(4), 181–192.

This article defines how competent health care providers can improve health care communication, access, and outcomes, and also encourage patients to participate more fully in their own care.

· Brusin, J. H. (2012).

How cultural competency can help reduce health disparities

. Radiologic Technology, 84(2), 129–147.

This article aids providers in a better understanding of the patient’s perspective on health care quality within the context of data analytics.

· Russell, R. S., Johnson, D. M., & White, S. W. (2015).

Patient perceptions of quality: Analyzing patient satisfaction surveys

. International Journal of Operations & Production Management, 35(8), 1158–1181.

Performance Measurement

This article defines a framework in which information can be generated for use in reporting and informing the public about health care quality.

· van den Heuvel, J., Niemeijer, G. C., & Does, R. J. M. M. (2013).

Measuring healthcare quality: The challenges

. International Journal of Health Care Quality Assurance, 26(3), 269–278.

This article examines different types of organizational activities related to performance measurement and how they lead to improvements.

· Elg, M., Palmberg Broryd, K., & Kollberg, B. (2013).

Performance measurement to drive improvements in healthcare practice

. International Journal of Operations & Production Management, 33(11/12), 1623–1651.

Primary Research

and Authoritative Sources

This Capella resource is helps to identify original research and contains links to different types of research.

· Primary Research.

This Capella resource contains information on finding peer-reviewed sources, improving your topic, acquiring research skills and evaluating source quality.

·

Library Research and Information Literacy Skills

.

Discusses advanced research techniques which will be helpful in finding and citing relevant, authoritative sources.??

·

Bibliography Mining and Cited Reference Searching

.

RefWorks

is a Capella resource research management tool that helps you collect, organize, and store citations from library databases and other resources.

· RefWorks.

Writing Resources

These Capella resources will help to build your understanding of APA style.

·

APA Module

.

·

APA Style and Format

.

Discusses academic writing, the appropriate use of APA style, how to avoid plagiarism and provide appropriate credit to your sources.

·

Academic Honesty & APA Style and Formatting

.

· Assessment Instructions

Note: This assessment incorporates and builds on the work you completed in Assessment 1.

Preparation

Expand upon your peer-reviewed or authoritative sources from Assessment 1 that substantiate your approach and method for the data review, such as accrediting body standards, accounting principles, federal laws, or Medicare conditions of participation.

Note: While an annotated bibliography is not a part of the graded assessment, you will need to integrate your sources into the proposal.

Review the balanced scorecard model. You will construct a balanced scorecard table in this assessment to convey the value of your project to the organization.

Requirements

Draft a proposal for your data review project. Use the Data Review Project Proposal Template, linked in the Resources of this unit.

Integrate faculty feedback on your proposal, prior to sharing it with the prospective client.

Supporting Evidence

Add a minimum of five relevant, authoritative sources, cited within the outline, different than the original citations from Assessment 1. Limit commercial website references to no more than two entries. Format your citations and references using APA style.

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your proposal addresses each point, at a minimum. You may also want to read the Data Review Project Proposal Scoring Guide to better understand how each criterion will be assessed.

· Choose a framework appropriate for examining the type of data under investigation. Look at the following for examples and explain the basis for your choice.

· For a compliance project, use the regulations.

· For an accrediting assessment, use the standards and site survey criteria.

· For the implementation of a new service line, consider using the balanced scorecard framework.

· Explain how a project addresses and adds value to each of the four areas of an organizational balanced scorecard. (The four areas being, business operations, finance, customer service, and organizational learning and growth.)

· Create a balanced scorecard table similar to the one presented in the Balanced Scorecard Example, linked in the Resources of this unit.

· Consider a strategic, systems perspective as you contemplate value to the organization and how the project aligns with the organizational mission, vision, and strategy.

· Find evidence to support your assertions and conclusions.

· Determine what additional information would strengthen your value proposition.

· Develop proposed structures (for example, pie chart, graph, spreadsheet, process map) for the visual display of summarized raw data.

· Reflect on what type of visual display structure will best fit your selected topic. Although you are just beginning to collect data, you will want to consider how to display it.

· Ensure that your data displays are clear and easily interpreted.

· Ensure that the proposed title includes the focus of the data, units of measurement, the organization’s name, and time frame.

· Combine clear, coherent, and original writing, in APA style, with relevant and credible evidence from the scholarly and professional literature.

· Apply correct APA formatting to your source citations.

· Consider how or why a particular piece of evidence supports your main points, claims, or conclusions.

· Make sure your supporting evidence is clear and explicit.

Running head: PROJECT TOPIC SELECTION 1

PROJECT TOPIC SELECTION 4

Project Topic Selection

Monna Joseph

Capella University

Project Topic Selection

Patient safety is a collective term for healthcare activities which revolve around prevention, reduction, reporting as well as analysis of medical errors with an aim of providing quality and effective healthcare services. I am examining the issue on lack of patient safety which negatively affect patients, healthcare providers as well as other stakeholders in the sector. I would like to examine the lack of patient safety while assessing the problem based on safety standards for specimen intake, storage and handling of chemicals, specimen processing as well as result reporting as per the National Patient Safety Agency, which highlights various factors attributing to patient safety issues. Such as, miscommunication of pain, shortage of accessible information, non-compliance with treatment, etc. (Health Services and Delivery Research; I. Tuffrey-Wijne; N. Giatras; L. Goulding, 2013).

In addition, safety events at Goodwill healthcare facility occur at 55%, a percentage which is a bit higher than the set regulations of events occurring between 3.7-16%, while comprising of 10% of the events expected to avoidable harm. This project hence aims at providing a solution with an aim of reducing the percentage to a realistic value according to the benchmark (Nacioglu, 2016).

Key performance indicators relating to patient safety in the storage and handling of chemicals, include, appropriate information and training on the same to avoid errors which result in the lack of patient safety. Moreover, specimen processing as a key performance indicator would result in effective outcomes relating to better and improved ways of digitizing specimen processing with an aim of improving on patient safety.

Lastly, on result reporting effective outcome would be realized through fast responses while indicating on prioritization of risk, i.e., highest, intermediate and lower risk, according to the Department of Veterans Affair, (Aspden, Corrigan, Wolcott, & Erickson, 2004) Nonetheless, this project will be of great value to Goodwill healthcare facility, through the identification of quality and compliance areas which enhance patient safety, which is one of the core values of the organization. Moreover, this project aligns with my future career goals by providing an opportunity for extensive research and potential recommendations relating to patient safety.

According to (Institute of Medicine (US) Committee on Quality of Health Care in America; LT. Kohn ; JM. Corrigan; MS. Donaldson, 2000), patient safety is a key determinant in the quality of healthcare being provided hence the need to maintain a safe environment for patients and the corresponding physicians. The various safety precaution methods are based on infection control, fatigue, faulty equipment, etc., which should all be monitored regularly, according to the patient safety guidelines and procedures.

References

Aspden, P., Corrigan, J. M., Wolcott, J., & Erickson, S. M. (2004). Standardized Reporting. In P. Aspden, J. M. Corrigan, J. Wolcott, & S. M. Erickson, Patient Safety: Achieving a New Standard for Care . THE NATIONAL ACADEMIES PRESS, Washington DC.

Health Services and Delivery Research; I. Tuffrey-Wijne; N. Giatras; L. Goulding. (2013). Chapter 4Literature review. In H. S. Research, I. Tuffrey-Wijne, N. Giatras, & L. Goulding, Identifying the factors affecting the implementation of strategies to promote a safer environment for patients with learning disabilities in NHS hospitals: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2013.

Institute of Medicine (US) Committee on Quality of Health Care in America; LT. Kohn ; JM. Corrigan; MS. Donaldson. (2000). To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US); 2000.

Kmietowicz, Z. (2007). Healthcare bodies sign charter pledging commitment to patient safety. BMJ, 334(7591), 447. doi:10.1136/bmj.39136.486829.DB.

Nacioglu, A. (2016, 08 19). As a critical behavior to improve quality and patient safety in health care: speaking up! Retrieved from Safety in Health: https://safetyinhealth.biomedcentral.com/articles/10.1186/s40886-016-0021-x

2

>
Balanced Scorecard

Applied to a Patient Safety Project

Business Operations

Finance

Customer Service

Organizational Learning and Growth

Smooth flow of business operations through reducing patient incidents by 50%.

Increase revenue by

1

2% as a result of increased market attributed by improved quality of healthcare services free from errors and harm.

Improve customer service through strategic plan which intends to constantly monitor and evaluate nurses as well as other caregivers, with an aim of ensuring that they are mentally and physically fit at providing healthcare services to patients

Improve organizational growth through provision of training sessions, where employees get a chance to better their skills and hence contribute to overall organizational growth.

Ensure a streamline of activities which result in overall improvement of operations. This will be as a result of the potential solutions intended at enhancing patient safety, e.g., constant monitoring of employees as well as equipment, in order to reduce harm.

Reduction of costs intended at solving medication errors as well as handling of patient safety incidents.

Decrease non-revenue producing staff through constant and consistent monitoring and evaluation.

Patient safety ensures that an organization is safe through reduction of patient safety lawsuits and hence foster organizational growth and continuity.

1
2

Running head: DATA REVIEW PROJECT PROPOSAL 1

DATA REVIEW PROJECT PROPOSAL 9

Data Review Project Proposal

Monna Joseph

Name of Institution

Contents
Chapter One 3
1.0 Executive Summary 3
1.1 Introduction 4
1.2 Statement of the Problem 4
Chapter Two 5
2.0 Background Literature 5
Chapter Three 7
3.0 Client Value Proposition 7
Chapter Four 8
4.0 Expected Outcomes and Precise Performance Measurement 8
References 9

Chapter One

1.0 Executive Summary

Patient safety is a collective term for healthcare activities which revolve around prevention, reduction, reporting as well as analysis of medical errors with an aim of providing quality and effective healthcare services. The problem of lack of patient safety has been a major issue in various healthcare organizations, which involve various stakeholders in the sector, i.e., patients, physicians, etc., and which has been a leading cause of deaths among patients. The purpose of this project is to identify all the various instances which result in lack of patient safety, e.g., miscommunication, inaccessibility of information, misdiagnosis, etc. Additionally, this project aims at identifying the various outcomes which result from the instances as well as possible solutions to ensure patient safety.

The data review process to be utilized in this project involves several methods of examination of data, which include, definition of lack of patient safety as a problem, including the various effects as a result of lack of patient safety. Another process to be utilized in data review include literature research and comparison of previous work done relating to patient safety, while assessing on eligibility and quality of findings which is then necessary to combine the results and provide an informative summary of the findings. Nevertheless, data to be collected include all incidents of misdiagnosis, miscommunication and information unavailability, at Goodwill healthcare facility and comparing the data to set guidelines and standards already laid by the various healthcare professional bodies. Findings from the incidents at Goodwill healthcare facility will be effectively utilized in finding long lasting solutions in regards to patient safety and hence improving on quality of healthcare services provided.

1.1 Introduction

I am examining the issue on lack of patient safety which negatively affect patients, healthcare providers as well as other stakeholders in the sector. I would like to examine the lack of patient safety while assessing the problem based on measurements from key performance indicators such as, safety standards for specimen intake, storage and handling of chemicals, specimen processing as well as result reporting as per the National Patient Safety Agency, which highlights various factors attributing to patient safety issues. Such as, miscommunication of pain, shortage of accessible information, non-compliance with treatment, etc. (Health Services and Delivery Research; I. Tuffrey-Wijne; N. Giatras; L. Goulding, 2013)

Nonetheless, this project will be of great value to Goodwill healthcare facility, through the identification of quality and compliance areas which enhance patient safety, which is one of the core values of the organization. Moreover, this project aligns with my future career goals by providing an opportunity for extensive research and potential recommendations relating to patient safety.

1.2 Statement of the Problem

Lack of patient safety in healthcare facilities, especially at Goodwill healthcare facility, could result in harm not only to patients but also to their families, healthcare professionals, as well as other stakeholders in the sector. Lack of patient safety could also attract serious lawsuits against the facility which could make the facilities as well as healthcare professionals lose their practicing licenses. Moreover, lack of patient safety could result in deaths among patients and hence the need to ensure safety at all costs, while also aiming at quality improvement (Institute of Medicine (US) Committee on Quality of Health Care in America;LT. Kohn ; JM. Corrigan; MS. Donaldson , 2000).

Chapter Two

2.0 Background Literature

According to (World Health Organization, 2017), a significant number of patients are harmed during the provision and delivery of healthcare. Consequently, patient harm could result in permanent injury, death, or even increased time at the healthcare facility. It is estimated that at least one incident of harm is reported in every 35 seconds. Additionally, patient safety has been associated with low and middle income backgrounds as a result of various factors, e.g., understaffing, overcrowding, poor hygiene, shortage of basic equipment, etc.

The World Health Organization, is committed to improving the quality of healthcare by maintaining and improving patient safety, as laid out in the organization’s mission. Moreover, according to the organization, 15% of hospital expenditure ought to be dedicated towards treatment of safety accidents. Recognition of patient safety as a global challenge by the organization, has made the organization set goals for reducing the level of severe by 50% over 5 years, globally, with various strategic plans which include, creating communication and advocacy strategies, ensuring patients are largely involved in all healthcare aspects, through monitoring and evaluation, etc. (World Health Organization, 2017).

Patient safety is both a leadership and management issue as highlighted by Mark Graban in the book, Lean Hospitals. This source explains patient safety in relation to quality of care, whereby lack of patient safety is attributed to errors, increased waiting time as well as high healthcare costs. The source further explains the need to enhance patient safety through supporting employees and physicians, eliminating roadblocks, creating opportunities for growth and increased revenue, etc. On the other hand, failure to solve on the issue of patient safety would highly result in various consequences e.g., physicians having to be paid for non-value-added work, wasted motion in a hospital setting, overproduction of work, etc. (Graban, 2018).

Often times, one risk resulting to patient harm could subsequently lead to another harm, hence the need to analyze, detect and monitor various incidents of patient harm and error. According to (Washington, DC: U.S. Patent and Trademark Office Patent No. U.S. Patent No. 10,366,790., 2019), misdiagnosis of patient’s condition could result to medication errors, which in turn could result in permanent injury or death to a patient. It is therefore essential to adopt a patient safety processor, which generates patient data, converts and monitors data e.g., laboratory patient information and performing an analysis of occurrences at the given time frames. This ensures reduced medication errors, misdiagnosis, communication errors, etc.

Patient safety has also been associated with healthcare professionals and whether they are efficient in handling patients or not, whereby, they are often categorized as well-being or burnt out, according to (Hall, Johnson, Watt, Tsipa, & O’Connor, 2016). Additionally, 16 out of 27 studies measured for wellbeing found a strong correlation between poor wellbeing and patient safety, while 21 out of 30 studies measured for burnout, indicated an association between burnout and patient safety. This therefore creates the need for healthcare organizations to constantly monitor the wellbeing and mental health of healthcare professionals prior to attending patients. Failure to do so, would constantly and constituently result in errors which could cause death to patients.

According to (Dekker, 2016), there is a great relationship between human factors and patient safety, whereby the major risk relating to patient safety is as a result of individual caregivers and the environment surrounding the caregivers. Therefore, having a thorough analysis and monitoring of caregivers ensures reduced risks which could lead to the lack of patient safety. Moreover, failure to do so could result in incompetency issues which are a major cause of lack of patient safety.

Lastly, patient safety could also be attributed to leadership roles and factors, whereby, according to, between 45% and 94% of registered nurses experience verbal abuse which could be as a result of physical and psychological harm. This therefore encourages the need to investigate the effects of nurse mangers in transformational leadership hence reducing errors caused by mental breakdown of nurses. Nevertheless, nursing leadership is essential in providing high quality patient care and hence the need to regulate the same (Boamah, Laschinger, Wong, & Clarke, 2018).

Chapter Three

3.0 Client Value Proposition

My project on patient safety will be effective at adding value to the various sectors and departments at Goodwill healthcare facility. First, in terms of business operations, the various processes aimed at enhancing patient safety, will ensure smooth flow of business operations through reducing the patient incidents by 50%. Moreover, my proposed project will ensure a streamline of activities which result in overall improvement of operations. This will be as a result of the potential solutions intended at enhancing patient safety, e.g., constant monitoring of employees as well as equipment to reduce harm. More so, the project will add value to the finance department, through reduction of costs intended at solving medication errors as well as handling of patient safety incidents.

Customer service at Goodwill healthcare facility is expected to improve through the strategic plan which intends to constantly monitor and evaluate nurses as well as other caregivers, with an aim of ensuring that they are mentally and physically fit at providing healthcare services to patients. Additionally, organizational learning and growth is expected to gradually improve as a result of this project, whereby, through the provision of training sessions, employees get a chance to better their skills and hence contribute to overall organizational growth. Moreover, enhancing patient safety ensures that an organization is safe from potential lawsuits against the same and hence foster organizational growth and continuity.

Chapter Four

4.0 Expected Outcomes and Precise Performance Measurement

The various data to be collected and analyzed for performance measurement include, safety standards for specimen intake, storage and handling of chemicals, specimen processing as well as result reporting. Safety standards relating to specimen intake will be measured according to the level of accuracy applied to specimen intake as well as whether the physician uses the right and expected amount of specimen. Storage and handling of chemicals as a performance indicator will be measured according to the right and expected temperature conditions intended for storing chemicals as well as whether the chemicals are properly labeled and efficiently accessible by authorized individuals at the right time, as per the National Patient Safety Agency (Health Services and Delivery Research; I. Tuffrey-Wijne; N. Giatras; L. Goulding, 2013).

Measurement of performance from specimen processing will be based on whether the physician gives adequate and required time for specimen processing results to be ready. Lastly, measurement of result reporting as a performance indicator, will be based on accurate diagnosis to the right patient and hence correct medication procedures. These measurement are as per the measurement guidelines in the National Patient Safety Agency. Pie charts would be effective visual displays to summarize the data due to the scope of each data displayed as well as indication of the total percentages. In addition, the use of colors would also be effective to distinguish one performance indicator from the other.

References

Aspden, P., Corrigan, J. M., Wolcott, J., & Erickson, S. M. (2004). Standardized Reporting. In P. Aspden, J. M. Corrigan, J. Wolcott, & S. M. Erickson, Patient Safety: Achieving a New Standard for Care . THE NATIONAL ACADEMIES PRESS, Washington DC.

Boamah, A. S., Laschinger, S. K., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing outlook, 66(2), 180-189.

Dekker, S. (2016). Patient safety: a human factors approach. CRC Press.

Graban, M. (2018). Lean Hospitals Improving Quality, Patient Safety, and Employee Engagement, Third Edition. Productivity Press.

Hall, H. L., Johnson, J., Watt, I., Tsipa, A., & O’Connor, B. D. (2016). Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PloS one, 11(7).

Health Services and Delivery Research; I. Tuffrey-Wijne; N. Giatras; L. Goulding. (2013). Chapter 4Literature review. In H. S. Research, I. Tuffrey-Wijne, N. Giatras, & L. Goulding, Identifying the factors affecting the implementation of strategies to promote a safer environment for patients with learning disabilities in NHS hospitals: a mixed-methods study. Southampton (UK): NIHR Journals Library; 2013.

Institute of Medicine (US) Committee on Quality of Health Care in America;LT. Kohn ; JM. Corrigan; MS. Donaldson . (2000). Creating Safety Systems in Health Care Organizations. In I. o. America, L. Kohn, J. Corrigan, & M. Donaldson, To Err is Human: Building a Safer Health System. Washington (DC): National Academies Press (US);.

Lynn, A. L., & Lynn, N. E. (2019). Washington, DC: U.S. Patent and Trademark Office Patent No. U.S. Patent No. 10,366,790.

Nacioglu, A. (2016, 08 19). As a critical behavior to improve quality and patient safety in health care: speaking up! Retrieved from Safety in Health: https://safetyinhealth.biomedcentral.com/articles/10.1186/s40886-016-0021-x

World Health Organization. (2017). Patient safety: making health care safer (No. WHO/HIS/SDS/2017.11). Retrieved from World Health Organization: https://apps.who.int/iris/bitstream/handle/10665/255507/WHO-HIS-SDS-2017.11-eng ?sequence=1&isAllowed=y