NURS 8302 Week 5 Discussion: Measurement Systems and Methods

Sample Answer for NURS 8302 Week 5 Discussion: Measurement Systems and Methods Included After Question

The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.

To Prepare:

  • Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.
  • Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.
  • Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.
  • Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.
  • Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.
  • Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not?

By Day 3 of Week 5

Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.

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MERRY CHRISTMAS to you too! I enjoyed reading about your experience with the new Baptist Hospital in Brent Lane, Pensacola, FL. It’s wonderful that the hospital is equipped with the latest facilities, and your emphasis on using scorecards and dashboards for measuring and tracking patient experience and care is commendable. The incorporation of HCAHPS surveys provides a standardized approach to evaluating patient perspectives, ensuring transparency and accountability in healthcare services.

Your commitment to reviewing patient satisfaction monthly and aligning performance with nationally recognized benchmarks showcases a dedication to continuous improvement (Truong et al., 2020). Congratulations on the successful survey by DNV, reflecting the hospital’s commitment to high-quality care.

I appreciate your insight into measuring nurse-sensitive indicators on your floor, such as patient falls, hospital-acquired pressure injuries, catheter-associated urinary tract infections, and central line-associated bloodstream infections (Townsend et al., 2020). It’s crucial to address these indicators, not only for individual patient care but also for their impact on hospital-wide scores. Your acknowledgment of the shift in the healthcare system toward patient-centered care aligns well with the evolving landscape of healthcare services.

Your reference to Nash et al.’s (2019) statement about the revelation of previously assumed high-quality care highlights the transformative nature of the healthcare industry. As we move toward patient-centered care, patient feedback becomes paramount, and your approach to using surveys to understand the patient’s perspective is commendable.

In conclusion, your post reflects a commitment to patient-centered care and continuous improvement. Keep up the excellent work at the new Baptist Hospital!

References

Townsend, B., Strazdins, L., Harris, P., Baum, F., & Friel, S. (2020). Bringing in critical frameworks to investigate agenda-setting for the social determinants of health: Lessons from a multiple framework analysis. Social Science & Medicine250, 112886. https://doi.org/10.1016/j.socscimed.2020.112886Links to an external site. 

Truong, M., Bourke, C., Jones, Y., Cook, O., & Lawton, P. (2020). Equity in clinical practice requires organizational and system-level change – The role of nurse leaders. Collegian28(3). https://doi.org/10.1016/j.colegn.2020.09.004Links to an external site. 

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 of Week 5 and Respond by Day 6 of Week 5

To Participate in this Discussion:

Week 5 Discussion

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Health care organizations strives for excellent quality services. The ability of health organizations to achieve their desire outcomes depends largely on quality indicators that are in place. I notice that falls is one of the main concern with quality indicators in rehab. Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.

Quality metrics are important in behavioral health. Quality metrics can be used to determine the effectiveness of the quality metrics that guide the care to a patient with depression in a rehab setting may very from those who lives in a nursing home. The hospital monitors timelessness of care, medication errors, and patient falls. for example, once you pull a pain pill from the pixies, you must give it within 30 minutes and reassess within one hour. Quality metrics facilitates change and improves the management of depression.

Dashboards are helpful when monitoring the results of improvement. And can be used for measuring current performance. Wong et al. (2020), explained that while using the data from the Medicare and Medicaid Services (CMS) administrative claims data base, the dashboard revealed the impact of diabetes with readmissions and financial strain if they were admitted with it.

Nash et al. (2019), “reported that instead of measurement of what providers do, patient-centered care requires measurement of providers’ focus on meeting patients’ needs.” Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.

References

Nash, D., Joshi, M., Ransom, E., & Ransom, S. (2019). The healthcare quality book:

            Vision, strategy, and tools (4th ed.)p 234, 304. Chicago, IL. p 41.

Wong, T., Broyman, E. Y., Rao, N., Tsai, M. &Urman, R., D. (2020). A dashboard prototype for

tracking the impact of diabetes on hospital readmissions using a national administrative

database. J Clin Med Res, 12(1); 18 – 25. doi: 10.14740/jocmr4029.

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_8302_Week5_Discussion_Rubric

Excellent 90–100Good 80–89Fair 70–79Poor : 0–69
Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.Points Range: 40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources.Points Range: 35 (35%) – 39 (39%) Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references.Points Range: 31 (31%) – 34 (34%) Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references.Points Range: 0 (0%) – 30 (30%) Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references.
Main Posting: WritingPoints Range: 6 (6%) – 6 (6%) Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style.Points Range: 5 (5%) – 5 (5%) Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style.Points Range: 4 (4%) – 4 (4%) Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors.Points Range: 0 (0%) – 3 (3%) Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Posting: Timely and full participationPoints Range: 9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation. Posts main Discussion by due date.Points Range: 8 (8%) – 8 (8%) Meets requirements for full participation. Posts main Discussion by due date.Points Range: 7 (7%) – 7 (7%) Posts main Discussion by due date.Points Range: 0 (0%) – 6 (6%) Does not meet requirements for full participation. Does not post main Discussion by due date.
First Response: Post to colleague’s main post that is reflective and justified with credible sources.Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.Points Range: 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%) Response is on topic and may have some depth.Points Range: 0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
First Response:
Writing
Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.Points Range: 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.Points Range: 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
First Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.Points Range: 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.Points Range: 3 (3%) – 3 (3%) Posts by due date.Points Range: 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
Points Range: 9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.Points Range: 8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.Points Range: 7 (7%) – 7 (7%) Response is on topic and may have some depth.Points Range: 0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
Second Response:
Writing
Points Range: 6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.Points Range: 5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.Points Range: 4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.Points Range: 0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
Second Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.Points Range: 4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.Points Range: 3 (3%) – 3 (3%) Posts by due date.Points Range: 0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Total Points: 100 
      

Name: NURS_8302_Week5_Discussion_Rubric

A Sample Answer For the Assignment: NURS 8302 Week 5 Discussion: Measurement Systems and Methods

Title: NURS 8302 Week 5 Discussion: Measurement Systems and Methods

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

Among the centre of focus of healthcare organizations and nursing settings are ensuring that patients get appropriate care, are satisfied, and are safe in such environments. It is usually important to ascertain whether the organizations meet such goals. While measuring outcomes such as safety may be easier by considering some vital data, it is more challenging to measure patient satisfaction. Healthcare organizations and nursing institutions have used various tools such as scorecards and dashboards for measuring and improving patient satisfaction (Bergeron, 2017)

Even though formulating a balanced scorecard to track patient satisfaction can be controversial due to factors like effectiveness level, data analysis, and implementation, it is important to use the scorecard as a tool. The purpose of this week’s discussion is to identify a healthcare organization or nursing setting that uses a scorecard or dashboard to track patient satisfaction and give a description of the measures used. Besides, the discussion will explore whether the metrics are currently being met and the possible impacts of either meeting or not meeting the metrics.

The Description of the Organization

The organization chosen for discussion is Cleveland Clinic. Even though it is a teaching hospital, the organization also engages in patient care, training and research. In addition, Cleveland Clinic has close to ten community hospitals and over fifteen family health centers. Cleveland also offers its services to both international and local patients (“Cleveland Clinic,” n.d). In the last decade, the organization has been working with various quality indicators through the use of the PSI module, largely informed by the private payers and Federal Payment programs that consider quality indicators when reimbursing.

The Measures Used In the Score Card

Cleveland Clinic uses various measures as an organization, including customer, financial, internal, and employee growth and learning. These categories have various specific measures allied to them that the organization uses to track and improve quality. The organization uses three major patient-focused measures on its scoreboard to measure, track and set improvement goals related to patient experience. The three measures include positive press, referrals, and long-term patient relationships. All these metrics are patient-survey related. For instance, upon discharge, patients are prompted to state whether they can refer other patients to the facility, among other survey questions (“Cleveland,” n.d).  The organization values patient and family feedback and enhances the positive paths by sharing the written compliments and survey scores with the staff make them feel valued and improve quality.

Establishment of Goals for the Metrics

Since starting to deal with the quality measure indicators a decade ago, Cleveland Clinic has set goals and reviewed them at various intervals to evaluate how well they are being met. So the organization establishes goals for the discussed metrics. For some time now, the organization has been having patients experience strategic goal and ensure that patients come first. As such, they engage in various services such as listening to the patients and their family members and utilizing the feedback obtained to improve quality, managing data and applying the information in quality improvement, and offering quality training to their caregivers (“Cleveland,” n.d).  Currently, at Cleveland Clinic, these metrics are largely being met. Indeed, eight of the Cleveland clinic’s facilities recently got a five-star rating for patient service quality and safety. This indicates that the organization is meeting the patient experience metrics.

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Potential Impacts of Not Meeting the Metrics

When an organization fails to meet the patient experience metrics, it implies that various operations are not going well, and specific changes could be needed or even overdue. When the metrics are not met, one of the major impacts is that patients would prefer getting services in other healthcare facilities and a shrinking customer base (Bergeron, 2017). In addition, the facility may fail to attract more competent staff due to a tainted image. If the metrics could not have been met, then the Cleveland clinic could not have been among the top healthcare facilities in America. As such, if it happens that the hospital fails to meet the metrics in the future, the ranking would be lower, and many patients would prefer to go to other facilities. Another potential impact is that the organization may have to take drastic and calculated measures to evaluate the various leadership positions that influence the operations and make necessary changes.

References

Bergeron, B. P. (2017). Performance management in healthcare: from key performance indicators to balanced scorecard. Productivity Press.

Cleveland Clinic. (n.d). Institutes and departments. https://my.clevelandclinic.org/departments.

Cleveland Clinic. (n.d). Patient experience measurement https://my.clevelandclinic.org/departments/patient-experience/depts/office-patient-experience/measurement.

Cleveland Clinic. (n.d). Patient experience. https://www.clevelandclinicabudhabi.ae/en/patients-and-visitors/patient-experience/pages/default.aspx

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

Among the centre of focus of healthcare organizations and nursing settings are ensuring that patients get appropriate care, are satisfied, and are safe in such environments. It is usually important to ascertain whether the organizations meet such goals. While measuring outcomes such as safety may be easier by considering some vital data, it is more challenging to measure patient satisfaction. Healthcare organizations and nursing institutions have used various tools such as scorecards and dashboards for measuring and improving patient satisfaction (Bergeron, 2017)

Even though formulating a balanced scorecard to track patient satisfaction can be controversial due to factors like effectiveness level, data analysis, and implementation, it is important to use the scorecard as a tool. The purpose of this week’s discussion is to identify a healthcare organization or nursing setting that uses a scorecard or dashboard to track patient satisfaction and give a description of the measures used. Besides, the discussion will explore whether the metrics are currently being met and the possible impacts of either meeting or not meeting the metrics.

The Description of the Organization

The organization chosen for discussion is Cleveland Clinic. Even though it is a teaching hospital, the organization also engages in patient care, training and research. In addition, Cleveland Clinic has close to ten community hospitals and over fifteen family health centers. Cleveland also offers its services to both international and local patients (“Cleveland Clinic,” n.d). In the last decade, the organization has been working with various quality indicators through the use of the PSI module, largely informed by the private payers and Federal Payment programs that consider quality indicators when reimbursing.

The Measures Used In the Score Card

Cleveland Clinic uses various measures as an organization, including customer, financial, internal, and employee growth and learning. These categories have various specific measures allied to them that the organization uses to track and improve quality. The organization uses three major patient-focused measures on its scoreboard to measure, track and set improvement goals related to patient experience. The three measures include positive press, referrals, and long-term patient relationships. All these metrics are patient-survey related. For instance, upon discharge, patients are prompted to state whether they can refer other patients to the facility, among other survey questions (“Cleveland,” n.d).  The organization values patient and family feedback and enhances the positive paths by sharing the written compliments and survey scores with the staff make them feel valued and improve quality.

Establishment of Goals for the Metrics

Since starting to deal with the quality measure indicators a decade ago, Cleveland Clinic has set goals and reviewed them at various intervals to evaluate how well they are being met. So the organization establishes goals for the discussed metrics. For some time now, the organization has been having patients experience strategic goal and ensure that patients come first. As such, they engage in various services such as listening to the patients and their family members and utilizing the feedback obtained to improve quality, managing data and applying the information in quality improvement, and offering quality training to their caregivers (“Cleveland,” n.d).  Currently, at Cleveland Clinic, these metrics are largely being met. Indeed, eight of the Cleveland clinic’s facilities recently got a five-star rating for patient service quality and safety. This indicates that the organization is meeting the patient experience metrics.

Potential Impacts of Not Meeting the Metrics

When an organization fails to meet the patient experience metrics, it implies that various operations are not going well, and specific changes could be needed or even overdue. When the metrics are not met, one of the major impacts is that patients would prefer getting services in other healthcare facilities and a shrinking customer base (Bergeron, 2017). In addition, the facility may fail to attract more competent staff due to a tainted image. If the metrics could not have been met, then the Cleveland clinic could not have been among the top healthcare facilities in America. As such, if it happens that the hospital fails to meet the metrics in the future, the ranking would be lower, and many patients would prefer to go to other facilities. Another potential impact is that the organization may have to take drastic and calculated measures to evaluate the various leadership positions that influence the operations and make necessary changes.

References

Bergeron, B. P. (2017). Performance management in healthcare: from key performance indicators to balanced scorecard. Productivity Press.

Cleveland Clinic. (n.d). Institutes and departments. https://my.clevelandclinic.org/departments.

Cleveland Clinic. (n.d). Patient experience measurement https://my.clevelandclinic.org/departments/patient-experience/depts/office-patient-experience/measurement.

Cleveland Clinic. (n.d). Patient experience. https://www.clevelandclinicabudhabi.ae/en/patients-and-visitors/patient-experience/pages/default.aspx

Discussion: Measurement Systems and Methods

You are a DNP-prepared nurse working at a hospital focused on improving patient satisfaction. After receiving care at your hospital, patients are provided a scorecard to survey their patient experience. The patient surveys range in questions from wait time to effectiveness of care, and these surveys provide your hospital with a scorecard indicating how the hospital is performing against these metrics. Upon reviewing the scorecards, you are able to highlight areas of improvement and areas of success, however, you find the responses are often difficult to analyze, as there are a wide range of responses, and there are many variables.

Photo Credit: Getty Images

The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.

To Prepare:

  • Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.
  • Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.
  • Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.
  • Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.
  • Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.
  • Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not?

By Day 3 of Week 5

Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 5 Discussion Rubric

Post by Day 3 of Week 5 and Respond by Day 6 of Week 5

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To Participate in this Discussion:

Week 5 Discussion

Health care organizations strives for excellent quality services. The ability of health organizations to achieve their desire outcomes depends largely on quality indicators that are in place. I notice that falls is one of the main concern with quality indicators in rehab. Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.

Quality metrics are important in behavioral health. Quality metrics can be used to determine the effectiveness of the quality metrics that guide the care to a patient with depression in a rehab setting may very from those who lives in a nursing home. The hospital monitors timelessness of care, medication errors, and patient falls. for example, once you pull a pain pill from the pixies, you must give it within 30 minutes and reassess within one hour. Quality metrics facilitates change and improves the management of depression.

Dashboards are helpful when monitoring the results of improvement. And can be used for measuring current performance. Wong et al. (2020), explained that while using the data from the Medicare and Medicaid Services (CMS) administrative claims data base, the dashboard revealed the impact of diabetes with readmissions and financial strain if they were admitted with it.

Nash et al. (2019), “reported that instead of measurement of what providers do, patient-centered care requires measurement of providers’ focus on meeting patients’ needs.” Hospital push for patient satisfaction such as, pain management, nursing care and even the overall care received. This can be related to falls, wounds, or part of the chronic health problem. They are important in healthcare and are used as guidance for quality improvement.

References

Nash, D., Joshi, M., Ransom, E., & Ransom, S. (2019). The healthcare quality book:

            Vision, strategy, and tools (4th ed.)p 234, 304. Chicago, IL. p 41.

Wong, T., Broyman, E. Y., Rao, N., Tsai, M. &Urman, R., D. (2020). A dashboard prototype for

tracking the impact of diabetes on hospital readmissions using a national administrative

database. J Clin Med Res, 12(1); 18 – 25. doi: 10.14740/jocmr4029.

Rubric Detail

Select Grid View or List View to change the rubric’s layout.

Content

Name: NURS_8302_Week5_Discussion_Rubric

  Excellent

90–100

Good

80–89

Fair

70–79

Poor

: 0–69

Main Posting:

Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

Points Range: 40 (40%) – 44 (44%)

Thoroughly responds to the Discussion question(s).

Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

No less than 75% of post has exceptional depth and breadth.

Supported by at least three current credible sources.

Points Range: 35 (35%) – 39 (39%)

Responds to most of the Discussion question(s).

Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of the post has exceptional depth and breadth.

Supported by at least three credible references.

Points Range: 31 (31%) – 34 (34%)

Responds to some of the Discussion question(s).

One to two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Cited with fewer than two credible references.

Points Range: 0 (0%) – 30 (30%)

Does not respond to the Discussion question(s).

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible references.

Main Posting:

Writing

Points Range: 6 (6%) – 6 (6%)

Written clearly and concisely.

Contains no grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

Points Range: 5 (5%) – 5 (5%)

Written concisely.

May contain one to two grammatical or spelling errors.

Adheres to current APA manual writing rules and style.

Points Range: 4 (4%) – 4 (4%)

Written somewhat concisely.

May contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

Points Range: 0 (0%) – 3 (3%)

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Posting:

Timely and full participation

Points Range: 9 (9%) – 10 (10%)

Meets requirements for timely, full, and active participation.

Posts main Discussion by due date.

Points Range: 8 (8%) – 8 (8%)

Meets requirements for full participation.

Posts main Discussion by due date.

Points Range: 7 (7%) – 7 (7%)

Posts main Discussion by due date.

Points Range: 0 (0%) – 6 (6%)

Does not meet requirements for full participation.

Does not post main Discussion by due date.

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

Points Range: 8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)

Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

First Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

First Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

Points Range: 3 (3%) – 3 (3%)

Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
Points Range: 9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings.

Responds to questions posed by faculty.

The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

Points Range: 8 (8%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting.

Points Range: 7 (7%) – 7 (7%)

Response is on topic and may have some depth.

Points Range: 0 (0%) – 6 (6%)

Response may not be on topic and lacks depth.

Second Response:
Writing
Points Range: 6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues.

Response to faculty questions are fully answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

Points Range: 5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues.

Response to faculty questions are mostly answered, if posed.

Provides opinions and ideas that are supported by few credible sources.

Response is written in standard, edited English.

Points Range: 4 (4%) – 4 (4%)

Response posed in the Discussion may lack effective professional communication.

Response to faculty questions are somewhat answered, if posed.

Few or no credible sources are cited.

Points Range: 0 (0%) – 3 (3%)

Responses posted in the Discussion lack effective communication.

Response to faculty questions are missing.

No credible sources are cited.

Second Response:
Timely and full participation
Points Range: 5 (5%) – 5 (5%)

Meets requirements for timely, full, and active participation.

Posts by due date.

Points Range: 4 (4%) – 4 (4%)

Meets requirements for full participation.

Posts by due date.

Points Range: 3 (3%) – 3 (3%)

Posts by due date.

Points Range: 0 (0%) – 2 (2%)

Does not meet requirements for full participation.

Does not post by due date.

Total Points: 100  
           

Name: NURS_8302_Week5_Discussion_Rubric

The goals at the present health care setting were established in line with the above metrics. According to the mission and vision of the place, ensuring that the quality of care services improve forms a fundamental objective of the organization. Indeed, the primary goal of the hospital entails the adoption of evidence-based practices in care so as to enhance patient experiences hence satisfaction. Moreover, the hospital has established an online website patients provide their feedbacks anonymously pursuant to Ilioudi, Lazakidou, and Tsironi (2013). The objective herein, according to the hospital, encompasses evaluation of the patience experiences and perceptions of the hospital’s services. An observation of these objectives reveals that the hospital staff strive to meet these goals. As an example, the percentage of patients who demonstrated satisfaction with pain management and doctors’ communication improved by 20%. In addition, the average rating of the hospital services has increased to 4.5 out of 5.00 after the interaction of the measures. These two phenomena indicatively suggest that the hospital currently meets the metrics.

Great post Quennie. It is interesting to learn about your organization, the new location, and its use of scorecards and dashboards. Such measurement systems allow healthcare organizations and providers to keep track of their care provision processes to identify success areas and practice gaps for quality improvement for the sake of promoting care outcomes for patients (Amer et al., 2020). Your organization is doing a good job carrying out evidence-based practice by comparing the scores from the measurement systems and methods with those of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). Such a comparison ensures that healthcare organizations are operating at par and that improvement goals are in line with the standards of governmental and leading healthcare institutions and organizations, which are based on reliable and credible research and experience.

Your organization’s review of patient satisfaction every month is timely and indeed, is a way of ensuring it attains its performance expectations. Furthermore, the use of patient falls, hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections (CAUTI), and central line-associated bloodstream infections (CLABI) as measures by your organization are meaningful. Indeed, failing to meet the set goals can be catastrophic. In this case, it is the patients, the healthcare organization, and the healthcare system in general that suffer the adverse consequences. The failure to reach the set metrics means that a healthcare facility is falling short in its provision of quality services and undermining patient care outcomes. Such organizations should take advantage of measurement systems and metrics to track performance and identify practice gaps for quality improvement.

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