Milestone Four: Evaluation

Project Topic:   Nursing Shortage and the Need for More Nurses

Milestone 3 is attached to help follow thru the flow of milestone four. SO PLEASE refer to milestone 3 to help in answering milestone 4.

Please use these bolded prompts as headers, this will make your final project so much easier!

Plan:

What is your plan for evaluation of the strategies using performance improvement data and tracers?

What tracers will you use?

Include necessary detail to deliver key points and requirements, such as specific data collection methods, time frames for evaluation, and intended re-evaluation.

Plan Evaluation:

How effective and sustainable is your plan? In other words, evaluate the effectiveness and the ease of use, timeliness, and efficiency of your plan for the progress and success of your initiative.

Use of Tracers:

The tracer methodology uses information from the organization to follow the experience of care, treatment or services for a number of patients through the organization’s entire health care delivery process. Tracers allow surveyors to identify performance issues in one or more steps of the process, or interfaces between processes.

A SAMPLE ATTACHMENT IS PROVIDED AS HOW MILESTONE 4 SHOULD RESEMBLE!!

Please be sure to review the Milestone Four Guidelines and Rubric document for additional details and follow ALL instructions and prompts from there as well.

Running head: IMPLEMENTATION 1

Implementation 5

Nursing Shortage and the Need for More Nurses


Implementation of Proposed Changes

Implementing a new model within a healthcare facility very sensitive. The implementation process has to be well structured to avoid any negative impact to the existing service delivery process and mechanism already implemented. The change being implemented must be consistent with existing policies and services at the healthcare institution, (Allen, 2016). In this case, implementing a new compensation system at Mary Manning Walsh must be done while considering the current workforce, and the impact of the change on the quality of care extended to patients. The institution must ensure that the change strategy will fall within its financial capabilities. Implementing the proposed change strategy would be a viable intervention to curb the problems associated with the nurse shortage.

Quality Outcomes

The major problem that is noted at Mary Manning Walsh is the poor quality of care extended to patients. On analyzing the ratio of caregivers to patients, it is evident that nurses at the institution are overwhelmed hence the quality of care deteriorates. Therefore, it becomes necessary to increase the total number of nurses at the health care facility to make the ratio of nurses to patients much better. The first thing that the change strategy is expected to achieve is to reduce the number of patient readmissions. In recent times, the healthcare facility has had so many patient readmission cases which are mostly due to hospital-associated infections (HAI) such as CAUTI, (Marć, et.al., 2019). Implementation of the proposed compensation and reward system is expected to lower the patient readmission cases by 35% within the first four months after implementation. As more nurses become interested to work at Mary Manning Walsh, it is expected that the ratio of nurses to patients will be 1:6. Attracting more nurses to the facility will eventually translate to better care for all patients. It will also reduce the expenses incurred to handle re-admission cases at the facility.

Communication

The success of a change implementation proposal in any healthcare facility is largely dependent on the information relayed to all stakeholders before its implementation. Furthermore, all persons who would be affected by the proposed change should be engaged in the process of implementation. With this in mind, it becomes necessary to analyze and select the most effective communication channels through which information would be disseminated. Acceptance of the proposed compensation and rewards systems will depend on how well the stakeholders are persua

NUR 400 Milestone Four Guidelines and Rubric

In this milestone, you will address the plan for evaluating the proposed change. So far, you have introduced the topic, completed a literature review, and
discussed the specific plan and its implementation in the healthcare organization. In this section, provide at least three evidence-based sources to support your
chosen evaluation methods for your proposed initiative. APA form is required. You may use the areas below as subheadings for your paper. Remember, the final
project is an executive summary, so write clearly about your methods for evaluation. As noted in prior milestone overviews, all faculty feedback should be
incorporated into the final executive summary.

Prompt: In your milestone, make sure to address the following topics:

1. Plan: What is your plan for evaluation of the strategies using performance improvement data and tracers? What tracers will you use? Include necessary
detail to deliver key points and requirements, such as specific data collection methods, timeframes for evaluation, and intended re-evaluation.

2. Plan Evaluation: How effective and sustainable is your plan? In other words, evaluate the effectiveness and the ease of use, timeliness, and efficiency of
your plan for the progress and success of your initiative.

Guidelines for Submission: This paper should be 2–3 pages, not including the cover page or reference page. APA format is to be used for the reference list and all
internal citations (at least three evidence-based sources are required).

Critical Elements Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value
Plan Meets “Proficient” criteria and

offers critical details about the
evaluation of the strategic use
of performance improvement
data

Accurately analyzes the plan for
evaluation of the strategic use
of performance improvement
data

Analyzes the plan for evaluation
of strategic use of performance
improvement data, but with
gaps in accuracy of descriptions

Does not accurately analyze the
plan for evaluation of strategic
use of performance
improvement data

30

Plan Evaluation Meets “Proficient” criteria and
offers keen insights about the
effectiveness and sustainability
of the plan in terms of ease of
use, timeliness, and efficiency

Articulates accurately the
effectiveness and sustainability
of the plan in terms of ease of
use, timeliness, and efficiency

Articulates the effectiveness
and sustainability of the plan in
terms of ease of use, timeliness,
and efficiency, but with gaps in
accuracy

Does not articulate accurately
the effectiveness and
sustainability of the plan in
terms of ease of use, timeliness,
and efficiency

30

Use of Tracers Meets “Proficient” criteria and
offers professional insights
about wha

Running head: YOUR SHORTENED TITLE GOES HERE 1

SHORTENED TITLE GOES HERE (IN CAPS) 2

Plan

What is your plan for evaluation of the strategies using performance improvement data and tracers? What tracers will you use? Include necessary detail to deliver key points and requirements, such as specific data collection methods, timeframes for evaluation, and intended re-evaluation.

Tracer method is a unique technique used by the healthcare organizations, to obtain a real time picture of quality performance from point of entry to discharge. A key part of The Joint Commission’s on-site survey process is the tracer methodology (The Joint Commission, 2017).. Some traditional tracer tools can be used for quality and safety improvement. The focus of these tools is on ….. and the plan for the evaluation of this initiative for fall prevention will use tracers in the following manner….

OR

To evaluate the identified measure is the 30 day readmission rate for patients, data twill be racked by system tracers which will be completed monthly by the Assistant Director of Nursing.

Plan Evaluation

How effective and sustainable is your plan? In other words, evaluate the effectiveness and the ease of use, timeliness, and efficiency of your plan for the progress and success of your initiative.

The plan to prevent falls is effective and sustainable with the involvement and collaboration of all team members by implementing the following strategies… The initiative will be evaluated by the following methods, post implementation…….

OR

Every three months this data will be compiled and analyzed to determine what actions were effective and ineffective. The complete study will take place over a one year period with the desired result of an 15% or below hospital readmission rate.

Use of Tracers

Individual tracers make the most sense to utilize for this proposal because these tracers are designed to “trace” the care experiences that a patient had during hospitalization. For example: in case of fall prevention, these tracers help to track the patient’s experience regarding safety, satisfaction of personal needs, hygiene, compliance of staff during care….. System tracers can be utilized as well, for example….

OR

System tracers provide information by tracking where in an organizational process breakdowns occur or exist and are a valuable tool in identifying where changes needs to occur. The tracers that will be used include a baseline rate of readmissions, collection of weekly reports of hospital readmissions of those patients. The readmission data will be collected via generated daily reports….

References


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