The impact of nurse to patient ratios on patient safety and adverse outcomes1

 

TOPIC

2. CHOOSE TRIPLE AIM

3. IDENTIFY BUSINESS PLAN FRAMEWORK

4. OVERVIEW OF TRIPLE AIM AND BUSINESS PLAN FRAMEWORK

5. HOW THESE TWO APPLY TO MY PROJECT

6. UTILIZE THREE (3) RESEARCH ARTICLES RELATED TO BUSINESS FRAMEWORK TO EXPLAIN HOW IT PERTAIN TO THE DEVELOPMENT OF MY PROJECT PROPOSAL BY INTEGRATING AN EXAMPLE TO SUPPORT IT

7. DEVELOP A BUSINESS PLAN/ANALYSIS FOR MY PROJECT:

A. INTRODUCTION WITH PROJECT DESCRIPTION
B. OVERVIEW OF FRAMEWORK
C. RATIONALE
D. EVIDENCE BASED RESEARCH
E. FINANCIAL ANALYSIS PERTINENT TO FRAMEWORK

8. EXECUTIVE SUMMARY: DISCUSS HOW THIS PARTICULAR PROJECT FITS INTO THE CURRENT HEALTH CARE ENVIRONMENT IN TERMS OF TRIPLE AIM (I.E. ACCESS, QUALITY AND/OR COST).
TOPIC:

The impact of nurse to patient ratios on patient safety and adverse outcomes

My goal is to improve or optimize the current process based upon data analysis using a different approach with continuous monitor of the process. The nurse to patient ratio have a tremendous impact on patient safety, satisfaction and outcomes. I truly believe that if the RN has more time to focus on clinical recovery of each one of his/her patients; he/she will have enough time to stay vigilant and prevent unexpected outcomes.
I truly believe that due to the nurse to patient ratio and not enough assistants (CNAs), nurses do not have the time to do their job placing patient’s safety and lives at risk.
THE TRIPLE AIM

Improving the patient experience of care and outcomes (including quality and satisfaction)

BUSINESS FRAMEWORK

Six sigma using the DMAIC methodology

SIX SIGMA DMAIC METHODOLOGY:

D= Define the system, the voice of the customer and their requirements, and the project goals
M= Measure key aspects of the current process and collect relevant data
A= Analyze the data to investigate and verify cause-and-effect relationships. Determine what the relationships are, and attempt to ensure that all factors have been considered. Seek out root cause of the defect under investigation.
I= Improve or optimize the current process based upon data analysis using techniques such as mistake proofing, and the creation of a new process.
C= Control the future state process to ensure that any deviations from the target are corrected before they result in defects with continuous monitor of the process.

INSTRUCTIONS

1. Select one of the three pillars of the IHI Triple Aim and identify a business case, cost analysis, or business plan framework applicable to their DNP actual/potential capstone project. Provide an overview of the element of the triple aim and framework with rationale (why and how it applies to the specific project). Utilizing a minimum of three research articles related to this particular framework, explain how this framework pertains to the development of your project proposal by integrating or using an example with your discussion.

• Select one of the pillars of the IHI Triple Aim
• Select a business framework
• Provide an overview of the triple aim pillar and framework
• 6-8 pages, double spaced, strict APA style

2. Utilizing the triple aim pillar and business plan framework identified before develop a business plan/analysis for your identified project. This proposal should include: introduction with project description; overview of framework; rationale; evidence-based research; financial analysis pertinent to the framework. Integrate into the executive summary a discussion of how this particular project ‘fits’ in the current health care environment in terms of triple aim (i.e. access, quality, and/or cost).

• Incorporate elements of part one into final paper
• Develop a business plan, or analysis for your identified project
• Incorporate evidence that supports use of this framework
• Develop an executive summary
• 10-12 pages, double spaced, strict APA style

GRADING RUBRIC

1. Assignment Triple Aim and Framework Paper (20%)
Participant will identify a business case/ cost analysis or business plan framework applicable to their DNP actual/ potential capstone project. Provide an overview of the framework with rationale (why and how it applies to the specific project). Utilizing a minimum of three research articles related to this particular framework, explain how this framework pertains to the development of your project proposal by integrating or using an example with your discussion. (6-8 pages, double spaced, APA style).
CRITERIA SCORE COMMENTS
• Business case/ cost analysis/ plan framework identified
o Clearly stated
o Concise
o Thorough
• Framework applicable to capstone
o Overview of capstone
o Rationale
o Why it applies
o How it applies
• Incorporated evidence-based research
o Minimum two articles
o Relate in discussion to framework & capstone
o Logical reasoning used to support using facts & evidence
• Utilized example to support
• Concluded with summary of discussion
o Thorough
o Concise/ clear
o Synthesis of evidence and discussion
• Focused
• Continuity/ flow in presentation of ideas
• Clarity…clear, logical
• Organization of Information
• Overall Style/ writing
• Compliance with APA format
• Met criteria (3-5 pages, double spaced, APA)
FINAL OVERALL SCORE/GRADE
(0-75 possible)
Score Guide: 0 = Does not meet criteria; 1 = Weak/ Slightly meets criteria 2 = Meets criteria; 3 = Exceeds criteria
2. Assignment Triple Aim and Framework Paper (30%)
Utilizing the triple aim pillar and business case/cost analysis or business plan framework identified before, develop a business plan/analysis for your identified project. This proposal should include: introduction with project description; overview of framework; rationale; evidence-based research; financial analysis pertinent to the framework. Integrate into the executive summary a discussion of how this particular project ‘fits’ in the current health care environment in terms of triple aim (access, quality, and/or cost) The final paper must be 10-12 pages, double spaced, APA style.

CRITERIA SCORE COMMENTS
CONTENT
Introduction/ Overview
• Project Description
• Framework Identified
• Clearly stated
• Concise
• Thorough
Rationale
Evidence-based Research
• Relate in discussion to project
• Logical reasoning used to support incorporating facts & evidence
• Summarized/ synthesized EBR
Financial Analysis pertinent to Framework
• Applies framework to capstone
• Incorporates critical framework components
• Develops business analysis/ plan based on framework
o Thorough
o Clear
o Concise
o Incorporates evaluation/ measurement
Executive Summary
• ‘Fit’/ Health Care Reform
• Clearly stated
• Concise
• Thorough
Overall
• Focused
• Continuity/ flow in presentation of ideas
• Clarity…clear, logical
• Organization of Information
• Overall Style/ writing
• APA format
• Met criteria (7 – 10 pages, double spaced, APA)