IHP 604 Module Six Memo Guidelines and Rubric

Overview

Throughout this module, you have been learning about evalua�on methods. In this assignment, you will describe different evalua�on methods for a healthcare quality improvement ini�a�ve,

jus�fy this method a�er its ini�al launch date, and discuss how evalua�on methods for this ini�a�ve should change over �me. By successfully comple�ng this assignment, you will gain the

knowledge and skills required to complete a por�on of your project due later in this course.

For the purposes of this assignment, imagine that you are employed in the quality department of a hospital. Your hospital recently implemented an ongoing professional prac�ce evalua�on

(OPPE) using criteria specific to The Joint Commission medical staff standard. The Joint Commission (E-di�on) standard that is applied during the OPPE is:

Introduc�on to Standard MS.08.01.03 Ongoing Professional Prac�ce Evalua�on

The ongoing professional prac�ce evalua�on allows the organiza�on to iden�fy professional prac�ce trends that impact on quality of care and pa�ent safety. Such iden�fica�on may

require interven�on by the organized medical staff. The criteria used in the ongoing professional prac�ce evalua�on may include the following:

Review of opera�ve and other clinical procedure(s) performed and their outcomes

Pa�ern of blood and pharmaceu�cal usage (obtain from laboratory and pharmacy directors, respec�vely)

Requests for tests and procedures

Length of stay pa�erns

Morbidity and mortality data

Prac��oner’s use of consultants

Other relevant criteria as determined by the organized medical staff

The informa�on used in the ongoing professional prac�ce evalua�on may be acquired through the following:

Periodic chart review

Direct observa�on

Monitoring of diagnos�c and treatment techniques

Discussion with other individuals involved in the care of each pa�ent. including consul�ng physicians, assistants at surgery, and nursing and administra�ve personnel

As a result of the OPPE process, it was found that two creden�aled providers, two urology surgeons specifically, have been found to be deficient on the OPPE in the area of infec�ons: both

surgeons’ post-opera�ve urosurgery pa�ents have been experiencing an�bio�c-resistant urinary tract infec�ons. Not only does this impact the quality of the care per the standards, but it

can also impact the social marke�ng of the hospital, increase the costs of care, increase pa�ent length of stay, and decrease reimbursement.

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Therefore, your task is to recommend an evalua�on method for 3, 6, and 12 months intended to evaluate the reduc�on in infec�on rates as part of a quality improvement ini�a�ve. Then,

you will need to jus�fy your evalua�on method and why the method(s) should be employed a�er the ini�a�ve launch. Lastly, you will discuss how this evalua�on method should change over

�me to accurately assess the ini�a�ve over �me. As you complete this assignment, reflect on the following: How do you address the urinary tract infec�on rates in periods of 3, 6, and 12

months, and how will you lay out a plan for these urology surgeons? A�er all, the medical execu�ve commi�ee (MEC) of your hospital is held accountable to fulfill the OPPE requirements. If

these two surgeons con�nue to have post-opera�ve pa�ents with infec�ons, the MEC will determine what happens next. The MEC is commi�ed to reducing pa�ent harm and, specifically,

they are commi�ed to having an ac�ve OPPE process to drive quality improvements.

Prompt

Write a memo that is to be shared with the MEC. This memo will discuss the evalua�on methods that could be employed to address the situa�on described in the scenario. Use at least two

scholarly sources to support your claims.

Specifically, you must address the following rubric criteria:

Evalua�on methods at 3, 6, and 12 months: Recommend evalua�on methods for reducing infec�on rates as a quality improvement ini�a�ve at 3, 6, and 12 months.

Jus�fy an evalua�on method: Jus�fy an evalua�on method for healthcare quality improvement ini�a�ve at 3, 6, and 12 months a�er ini�a�ve launch.

Why evalua�on methods change: Discusses how evalua�on methods for healthcare quality improvement ini�a�ves should change over �me, depending on the change of infec�on

rates over �me.

What to Submit

Submit this assignment as a 3-to 4-page, double-spaced memo. You should cite at least two sources. Sources should be cited according to APA style. If you need wri�ng support, you can

access the Online Wri�ng Center through the Academic Support module of your course.

Module Six Memo Rubric

Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value

Evalua�on Methods at 3, 6,

and 12 Months

Exceeds proficiency in an

excep�onally clear and

insigh�ul manner, using

industry-specific language

Recommends evalua�on

methods for quality

improvement ini�a�ve at 3, 6,

and 12 months

Shows progress toward

proficiency, but with errors or

omissions

Does not a�empt criterion 35

Jus�fica�on of an

Evalua�on Method

Exceeds proficiency in an

excep�onally clear and

insigh�ul manner, using

industry-specific language

Jus�fies evalua�on method for

healthcare quality

improvement ini�a�ve at 3, 6,

and 12 months a�er ini�a�ve

launch

Shows progress toward

proficiency, but with errors or

omissions

Does not a�empt criterion 20

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Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value

Why Evalua�on Methods

Change

Exceeds proficiency in an

excep�onally clear and

insigh�ul manner, using

industry-specific language

Discusses how evalua�on

methods for healthcare quality

improvement ini�a�ves should

change over �me

Shows progress toward

proficiency, but with errors or

omissions

Does not a�empt criterion 20

Ar�cula�on of Response Exceeds proficiency in an

excep�onally clear and

insigh�ul manner

Clearly conveys meaning with

correct grammar, sentence

structure, and spelling,

demonstra�ng an

understanding of audience and

purpose

Shows progress toward

proficiency, but with errors in

grammar, sentence structure,

and spelling, nega�vely

impac�ng readability

Submission has cri�cal errors in

grammar, sentence structure,

and spelling, preven�ng

understanding of ideas

15

Scholarly Sources Incorporates more than two

scholarly, current (within the

last five years) sources, or use

of sources is excep�onally

insigh�ul

Incorporates two scholarly,

current (within the last five

years) sources that support

claims

Incorporates fewer than two

scholarly, current (within the

last five years) sources, or not

all sources support claims

Does not incorporate sources 5

APA Style Formats in-text cita�ons and

reference list according to APA

style with no errors

Formats in-text cita�ons and

reference list according to APA

style with fewer than five

errors

Formats in-text cita�ons and

reference list according to APA

style with five or more errors

Does not format in-text

cita�ons and reference list

according to APA style

5

Total: 100%

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