Week 03 Assignment – Problem, Aim Statement and Project Objectives
For this assignment, you will use the “Worksheet for Developing Your Quality Improvement Project” (PDF)- BELOW) to help you develop the problem, aim statement, and project objectives for your quality improvement project. Use the assignment’s guidelines as listed below to complete this assignment.
Use this TOPIC from a previous assignment: Measuring the Impact of Covid-19 Pandemic among Health Care Workers
Students will create sections on:
Define the nature and significance of the local problem, and the focus of your proposed QI project.
Describe the local context:
type and size of organization
details about the staff members
brief description of patient population.
Time-specific and measurable; it should also define the specific population that will be affected (ihi.org, 2017).
Use the S.M.A.R.T. criteria:
(what do you expect your project to accomplish)
Use the S.M.A.R.T. criteria to write each objective.
John Hopkins Medical. (n.d.) Worksheet for Developing Your Quality Improvement Project. John Hopkins Medical School.
Week 3: Required Readings
Nash, D.B., Joshi, M.S., Ransom, E.R., & Ransom, S.B. (Eds.) (2019). The healthcare quality book: Vision, strategies, and tools (4th ed.). Health Administration Press.
Nash, Joshi, Ransom, & Ransom: Chapters 4, 9, & 12.
ASQ. (2021). Quality assurance and quality control. ASQ Quality Press.
IHI. (2021). Measures. IHI Open School.
IHI. (2021). Science of Improvement: Establishing Measures. IHI Open School.
Nelson, E.C., Mohr, J.J., Batalden, P.B., & Plume, S.K. (1996). Improving health care, part 1: The clinical value compass (PDF). Joint Commission Journal on Quality Improvement, 22(4), 243-258.
Writing Guide for the entire MSN program:
APA. (2019). Publication manual of the American Psychological Association (7th ed.). American Psychological Association.
Content in weeks Lesson
IHI. (n.d.). Science of Improvement: Establishing Measures. IHI Open School. (Video)
N.A. (n.d.). Worksheet for Developing your Quality Improvement Project. Johns Hopkins Medicine.
Worksheet for Developing Your Quality Improvement Project PROBLEM STATEMENT: • Why are you doing this project? What is the problem you are addressing? Who is affected?
When is it a problem? Why does it matter? How does it affect the patient? • Consider aligning your project with at least one of the Institute of Medicine’s six dimensions of
quality: safe, effective, patient-centered, timely, efficient, equitable. • Current situation is __________________, leading to _______________ (undesirable event).
AIM STATEMENT: What are you trying to accomplish?
• What do you hope to accomplish with this project? Aims should be SMART, specific, clear, well-defined, and at a minimum describe the target population, the desired improvement, and the targeted timeframe.
• To improve (your process) from (baseline)% to (target)%, by (timeframe), among (your specific population)
To increase / decrease: _____________________________ (process/outcome) from: ___________________________________________ (baseline %, rate, #, etc) to:______________________________________________ (goal/target %, rate, #, etc) by: _____________________________________________ (date, 3-6 month timeframe) in: _____________________________________________ (population impacted)
Specific Is the statement precise about what the team hopes to achieve?
Measurable Are the objectives measurable? Will you know whether the
changes resulted in improvement?
Achievable Is this doable in the time you have? Are you attempting too much? Could you do more?
Realistic / Relevant
Do you have the resources needed (people, time, support?)
Aligns with mission
Timely Do you identify the timeline for the project – when will you accomplish
Worksheet for Developing Your Quality Improvement Project ESTABLISHING MEASURES: How will you know that a change is an improvement?
• Measurement over time is essential to QI. Measures can be outcome, process, or balancing measures. Baseline or benchmark data are needed to show improvement.
• Align your measure with your problem statement and aim. • Try to define your measure as a numerator/denominator.
SELECTING CHANGES: What changes can be made that will result in improvement?
• Ideas for changes often come from those working in the system, from other similar improvement efforts, or from change concepts and theory. What are some opportunities for change and improvement? What changes are you considering?
• What specific change concepts will achieve the Aim? TESTING CHANGES: Continuous improvement is built on small incremental changes, using a systematic scientific approach to test their impact and feasibility. The Plan-Do-Study-Act (PDSA) cycle can be used as a model on which to structure tests of change.
• Plan: What is the objective of this particular test of change? What do you think will happen and why? How, when, where, and by whom will the change be tested? What data will you collect?
• Do: What happened as you conducted the test? What did you observe? What problems or unexpected observations were encountered?
• Study: What data did you collect? What does the data show? How does it compare to your predictions? Is the quality of the data adequate? What did you learn? Include a graph or chart of your data.
• Act: If the test did not show ideal improvement, what modifications should be made to your change? What would be the plan for the next test? If the test did show desired improvement, what are the next steps for implementing or spreading the change?
PROJECT SUMMARY: What were the outcomes of the project? Did you achieve the project goals? What were the main lessons learned? Are the improvements or changes sustainable? How will you implement/spread any identified improvements? What would be the best next steps? References: • Institute for Healthcare Improvement. Science of Improvement: How to Improve.
http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx • Langley GL, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A
Practical Approach to Enhancing Organizational Performance (2nd ed), 2009. • SMART Aim Worksheet: https://www.rcplondon.ac.uk/sites/default/files/smart_aim_worksheet.pdf
Worksheet for Developing Your Quality Improvement Project
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