In this project, you will demonstrate your mastery of the following competency:

In this project, you will demonstrate your mastery of the following competency:
Analyze tools and methods utilized for assessing and improving the quality of healthcare services
Scenario
At Community General Hospital in Tallahassee, Florida, there has been a significant increase in fall-related incident reports over the past six months. You are the chief nursing officer (CNO), and the risk manager has come to you to discuss the specifics regarding these reports, as patient falls have become increasingly more prevalent in the evenings on the medical-surgical second floor unit (from 1 fall/100 patient days to 5 falls/100 patient days).
You have been asked to work to assess this quality and safety issue and establish a fall-prevention program for your organization. You will need to coordinate a group of representatives from the appropriate departments to be a part of the quality improvement team. The personnel that are involved in this quality initiative will be pulled away from their regular work, which will result in a loss of productive hours in certain departments. In order to gain permission to move forward with assembling members for the quality improvement team, you will need to present this issue to the CEO, as well as an analysis of the common tools and methods your team will use to assess and improve the quality of healthcare services.
Directions
An important component of quality improvement is a dynamic process that uses multiple quality improvement tools. Given the quality and safety issue in your healthcare organization, you will analyze the various aspects of the tools and methods used for assessing and improving the quality of healthcare services.
Methods: You have participated in quality improvement teams in the past and know that the two most common methods used for assessing and improving quality in your organization are the plan-do-study-act (PDSA) cycle and Lean Six Sigma. You decide to present each of these methods that your team intends to use to the CEO by addressing the following:
Discuss the purpose of quality assessment and improvement methods. Specifically, the CEO would like to know how these methods are used to accomplish the Institute of Medicine’s “six aims for improvement” in healthcare quality.
The CEO is unfamiliar with these methods and is interested in knowing the similarities and differences between methods. You will want to differentiate between the two methods and how each one is used in healthcare.
In order for the CEO to fully understand how these methods will be used by your team, you will illustrate the steps for using each method. Provide an example to refer to while describing the process for using each method. For instance, consider what your team might do during each of the four phases of the PDSA cycle methodology and the five phases of the Lean Six Sigma process to assess and improve the number of fall-related incidents. Consider using graphics or diagrams in your presentation to illustrate the steps for each method.
Tools: There are numerous tools that can be used to assess and improve quality in a healthcare organization. The most common tools that your organization has used in the past include brainstorming, flowcharts, fishbone diagrams, and SWOT analyses. Since you are presenting to the CEO, there is limited time to explain each tool, so you decide to select two that your team intends to use and address the following in your presentation:
Discuss the purpose of each tool, specifically stating whether the tool is used to assess or improve quality in healthcare.
Determine the output or information provided by each tool. This will be essential in determining what relevant information you will assess and use to achieve your quality improvement aims.
The CEO has limited experience using the specific tools you selected. Illustrate the process for using each tool for assessing and improving the quality of healthcare services. Provide an example to refer to while describing the process for using each tool. For example, if you were assessing the processes of delivering meals to patients, you might explain how to use a flowchart to model and identify inefficiencies in your process. Consider using graphics or diagrams in your presentation to illustrate the steps for each process.
What to Submit
Every project has a deliverable or deliverables, which are the files that must be submitted before your project can be assessed. For this project, you must submit the following:
Presentation to the CEO
Create a presentation that analyzes various methods and tools that your quality improvement team intends to use for assessing and improving fall-related incidents in your facility. Use the template to create your presentation to the CEO. Refer to the directions in the speaker notes on Slide 1 to appropriately prepare your presentation. Please remove the instructional text throughout the slides before submitting your presentation and add slides as needed.
Professional presentation slides should outline your main ideas in bullet form using minimal text. Be sure to include sufficient explanation in the speaker notes section of each slide and add slides as needed. Consider including images when referring to specific examples to enhance your presentation. Cite all sources appropriately.

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