Question Description
GRADING RUBRIC MUST BE FOLLOWED
Continuation of assignment 1
Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead to an improvement in quality and performance associated with the benchmark metric for which you advocated action in Assessment 1.
Preparation
After reviewing your benchmark evaluation, senior leaders in the organization have asked you to draft a policy change proposal and practice guidelines addressing the benchmark metric for which you advocated action.
In their request, senior leaders have asked for a proposal of not more than 24 pages that includes a concise policy description (about one paragraph), practice guidelines, and 35 credible references to relevant research, case studies, or best practices that support your analysis and recommendations. You are also expected to be precise, professional, and persuasive in justifying the merit of your proposed actions.
When creating your policy and guidelines it may be helpful to utilize the template that your current care setting or organization uses. Your setting’s risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your care setting does not have these resources, there are numerous appropriate templates freely available on the Internet.
Proposal Requirements
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
In your proposal, senior leaders have asked that you:
- Explain why a change in organizational policy or practice guidelines is needed to address a shortfall in meeting a performance benchmark prescribed by applicable local, state, or federal health care laws or policies.
- What is the current benchmark for the organization? What is the numeric score for the underperformance?
- How might the benchmark underperformance be affecting the quality of care being provided or the operations of the organization?
- What are the potential repercussions of not making any changes?
- Recommend ethical, evidence-based strategies to resolve the performance issue.
- What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
- How would these strategies ensure improved performance or compliance with applicable local, state, or federal health care laws or policies?
- How would you propose to apply these strategies in the context of your chosen professional practice setting?
- How would you ensure that the application of these strategies is ethical and culturally inclusive?
- Does your policy encompass the key components of your recommendations?
- Analyze the potential effects of environmental factors on your recommended strategies.
- What regulatory considerations could affect your recommended strategies?
- What organizational resources could affect your recommended strategies (for example, staffing, finances, logistics, and support services)?
- Are your policy and guidelines realistic in light of existing environmental factors?
- Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
- Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of your proposed policy, guidelines, and recommended strategies.
- Why is it important to engage these colleagues, individual stakeholders, or stakeholder groups?
- Do your proposed guidelines help colleagues, individual stakeholders, or stakeholder groups understand how to implement your proposed policy?
- How might engaging these colleagues, individual stakeholders, or stakeholder groups result in a better organizational policy and smoother implementation?
- Are your proposal and recommended strategies realistic, given the care team, unit, or organization you are considering?
- Communicate your proposed policy, guidelines, and recommended strategies in a professional and persuasive manner.
- Write clearly and logically, using correct grammar, punctuation, and mechanics.
- Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
- Did you cite an additional 35 credible sources to support your analysis and recommendations?
Questions to Consider:
What ethical, evidence-based strategies would you recommend to resolve the performance issue related to the underperforming metric you evaluated?
- What does the literature suggest are potential strategies to improve performance for your targeted benchmark?
- How would these strategies ensure improvement or compliance with the relevant local, state, or federal health care policy or law?
- How would you propose to apply these strategies in the context of Eagle Creek Hospital or your own practice setting?
- How would you ensure that these strategies are ethical and culturally inclusive in their application?
- Organizational Ethics Decision-Making Process in Health Care | Transcript
- Whitlock, R. (2016, April 15). United States: Talking about the challenge of quality in health care policy development. Mondaq Business Briefing.
- Brown, L. J., & McIntyre, E. L. (2014). The contribution of primary health care research, evaluation and development-supported research to primary health care policy and practice. Australian Journal of Primary Health, 20(1), 4755.
- Strehlenert, H., Richter-Sundberg, L., Nystrom, M. E., & Hasson, H. (2015). Evidence-informed policy formulation and implementation: A comparative case study of two national policies for improving health and social care in Sweden. Implementation Science, 10, 111.
- Rawlins, M. D. (2014). Engaging with health-care policy. The Lancet, 383, S78.
- National Quality Forum. (2016). Retrieved from http://www.qualityforum.org
- National Collaborating Centre for Methods and Tools. (2011). Stetler model of evidence-based practice. Retrieved from http://www.nccmt.ca/resources/search/83
- Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/de…
- Harvey, G., & Kitson, A. (2015). Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies is there a simple answer to a complex question? Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC43579…
- Gordon, L., Modayil, M. V., Pavlik, J., & Morris, C. D. (2015). Collaboration with behavioral health care facilities to implement systemwide tobacco control policiesCalifornia, 2012. Preventing Chronic Disease, 12, E13.
- Explain why a change in organizational policy or practice guidelines is needed to address a shortfall in meeting a performance benchmark prescribed by applicable local, state, or federal health care laws or policies.
- What is the current benchmark for the organization? What is the numeric score for the underperformance?
- How might the benchmark underperformance be affecting the quality of care being provided or the operations of the organization?
- What are the potential repercussions of not making any changes?
- Recommend ethical, evidence-based strategies to resolve the performance issue.
- What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
- How would these strategies ensure improved performance or compliance with applicable local, state, or federal health care laws or policies?
- How would you propose to apply these strategies in the context of your chosen professional practice setting?
- How would you ensure that the application of these strategies is ethical and culturally inclusive?
- Does your policy encompass the key components of your recommendations?
- Analyze the potential effects of environmental factors on your recommended strategies.
- What regulatory considerations could affect your recommended strategies?
- What organizational resources could affect your recommended strategies (for example, staffing, finances, logistics, and support services)?
- Are your policy and guidelines realistic in light of existing environmental factors?
- Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
- Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of your proposed policy, guidelines, and recommended strategies.
- Why is it important to engage these colleagues, individual stakeholders, or stakeholder groups?
- Do your proposed guidelines help colleagues, individual stakeholders, or stakeholder groups understand how to implement your proposed policy?
- How might engaging these colleagues, individual stakeholders, or stakeholder groups result in a better organizational policy and smoother implementation?
- Are your proposal and recommended strategies realistic, given the care team, unit, or organization you are considering?
- Communicate your proposed policy, guidelines, and recommended strategies in a professional and persuasive manner.
- Write clearly and logically, using correct grammar, punctuation, and mechanics.
- Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
- Did you cite an additional 35 credible sources to support your analysis and recommendations?
Resources:
Ethical Decision-Making to Improve Quality Performance
This interactive media applies an ethical decision-making process to a workplace health care issue in a hypothetical scenario, which may give you some ideas about how to incorporate ethical considerations into your policy change.
This short briefing outlines issues related to quality-related policy development and the potential solutions offered by new regulations such as the Medicare Access and CHIP Reauthorization Act (MACRA) and the ACA.
Development of Evidence-Based Strategies and Policies
This article explores and compares two policies aiming to improve health and social care in Sweden and to test a new conceptual model for evidence-informed policy formulation and implementation.
This article provides suggestions on how physicians may participate in evidence-based policy development.
This organization works with stakeholders to develop evidence-based measures and guidelines for quality improvement.
This model is useful for incorporating research evidence into health care policies and practices.
Organizational Policies and Implementation Strategies
This article compares single- to multi-faceted strategies for evidence-based health care policy implementation, and reveals that this is a controversial topic in the health care industry.
This study provides details on the implementation of system-wide tobacco control policies.
Assessment Instructions
In this assessment, you will build on the dashboard benchmark evaluation work you completed in Assessment 1.
Preparation
After reviewing your benchmark evaluation, senior leaders in the organization have asked you to draft a policy change proposal and practice guidelines addressing the benchmark metric for which you advocated action.
In their request, senior leaders have asked for a proposal of not more than 24 pages that includes a concise policy description (about one paragraph), practice guidelines, and 35 credible references to relevant research, case studies, or best practices that support your analysis and recommendations. You are also expected to be precise, professional, and persuasive in justifying the merit of your proposed actions.
When creating your policy and guidelines it may be helpful to utilize the template that your current care setting or organization uses. Your setting’s risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your care setting does not have these resources, there are numerous appropriate templates freely available on the Internet.
Proposal Requirements
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
In your proposal, senior leaders have asked that you: