a)Organization: Analyze the organization to determine the key characteristics (including organizational values if applicable) that are important to considerwhendevelopingplansforchangeandimplementationofqualityindicatorproposals.
b)ImprovementOpportunity:Whatistheissue(s)involvingpatientsafetyandfinancialconsiderationswithintheorganizationthatneedstobe addressed?Explaintheconnectionbetweenpatientsafetyandfinancialstateof theorganizationintermsof opportunitypresented.c)Purpose:Articulatetheoverallpurposeofyourproposal/proposedinitiativeforimprovingqualityofcarewithinyourorganization.Inother words,whatisyourintendedinitiativeforaddressingtheissue(s)/improvementopportunityidentified?d)Proposal Initiative: Detail the initiative you are proposing in terms of its application to your organization. In other words, what is it that youare proposing, and why is it relevant for yourorganization?e)Leadership:Articulatetheroleleadershipplaysinthecurrentsituation/environmentthatneedstobeaddressed.Inotherwords,inpresenting your proposal to leadership, you will need to articulate the overall role they play in the current environment, such as whether leadership is attemptingtoaddresstheissue,isunintentionallyfurtheringtheissue,orhasnotyetidentifiedyourconcernsasanorganizationalissue.II.Research andSupport:a)Proposal Care Support: Summarize the research from evidence-based studies and peer-reviewed sources that led you to believe that your proposal would improve quality delivery of care within yourorganization.b)Value-BasedSupport:Summarizetheresearchfromevidence-basedstudiesandpeer-reviewedsourcesthatledyoutobelievethatyour proposal would improve value-based reimbursement for yourorganization.c)Data Evidence: Detail the data from the organization or that you collected yourself that indicated the need for improvement, and explain howyoudrewyourconclusions.Note:Thisdatashouldconsistoftracerdata,performanceimprovementdata,benchmarks, andso on.d)Strategies:Detailexistinginterprofessionalstrategiesthatcouldbeappliedtoyourinitiativeandorganization.e)StrategyDefense:Defendyourrecommendedstrategiesintermsoftheirabilitytoimprovenursing-sensitivequalityindicatorsbasedon relevant, reliableresearch.f)ChangeTheory:Analyzerelevanttheoriesofchangethatinformedyourproposedinitiativeandcouldhelpwithimplementation.g)ChangeAssessment:Howapplicablearechangetheoriestopromotingyourintendedinitiativeandto thetypeandstructureofyourhealthcare organization?III.Implementationa)QualityOutcomes:Whatarethedesiredqualityoutcomesyouhopetoachievethroughimplementationofyourinitiative?Youroutcomes should be reasonable, measurable, and time-considerate to help monitorprogress.b)Communication:Analyzetheorganizationalprocessesforcommunicatingchangeinitiativestodeterminethemosteffectivepaths/methodsfor promoting the proposedinitiative.c)FlowofData:Discusshowtheexistingorganizationalprocesseswillallowforimprovedormaintainedflowofsurvey-requiredqualitydatathat may be valuable for tracking yourinitiative.d)NeededLeadership:Describethebehaviorsofleadershipandtheroleofleadershipinimplementingthesestrategiesforchangewithinthe organization.In other words,what responsibilities do leaders within your organization hold to ensure the implementation of the initiative?
IV.Evaluation
a)Plan: What is your plan for evaluation of the strategies using performance improvement data and tracers? What tracers will you use? Include necessarydetailtodeliverkeypointsandrequirements,such asspecificdatacollectionmethods,timeframesforevaluation,andintendedre-evaluation.
b)Plan Evaluation: How effective and sustainable is your plan? In other words, evaluate the effectiveness and the ease of use, timeliness, andefficiency of your plan for the progress and success of your initiative.
c)RoleofLeadership:Given your discussions about the roles and responsibilities of leadership within the organization,discuss the importance of leadership for successful improvement initiatives. In other words, articulate the role and importance of leadership in the successful review, implementation, and continuous improvement of performanceinitiatives