NR 562: LEADERSHIP AND MANAGEMENT WITHIN COMPLEX HEALTHCARE SYSTEMS

Module 5 Assignment: Systems Challenge: ER Avoidable Use

Guideline and Rubric

PURPOSE Healthcare systems must address both internal and external influencing factors to assure safe, high quality, cost-efficient care and improve pa=ent outcomes. Avoidable use and misuse of the Emergency Department are phenomena that directly impact organiza=onal outcomes and efficiency. The purpose of this assignment is to analyze the misuse of healthcare resources from a systems leadership perspec=ve in order to propose viable solu=ons.

COURSE LEARNING OUTCOMES Through this assignment, the student will address the following course learning outcomes:

• CO 1: Analyze the rela=onships among access, affordability, and availability of services within complex healthcare delivery systems. (PO #1)

• CO 3: Contrast the revenue sources for reimbursement of healthcare delivery services within complex healthcare systems. (PO #2)

• CO 4: Develop problem-solu=on strategies for a selected issue within the healthcare environment. (PO 5)

TOTAL POINTS POSSIBLE: 150 POINTS ASSIGNMENT OVERVIEW Inves=gate the issue of ER avoidable use as it portrays misuse of healthcare resources. Create a 10 slide PowerPoint Presenta=on. Use a minimum of 4 current scholarly sources to support your work. See rubric for specific, required content criteria within each secJon of the presentaJon:

• Provide an introduc=on to the presenta=on • Present an overview surrounding the issue of ER avoidable use, and explain the impact on

healthcare systems and individual pa=ents. • Iden=fy three specific underlying reasons for this misuse of healthcare resources, and discuss how

each underlying issue is reflec=ve of a gap or problem within the current healthcare system. • Propose one strategy to address or resolve one of the underlying issues, and discuss how the

strategy will specifically address or resolve the issue. Provide a detailed explana=on of the resources necessary to opera=onalize the proposed strategy.

• Provide a conclusion to the presenta=on.

ASSIGNMENT INSTRUCTIONS 1. Abide by the Chamberlain College of Nursing Academic Integrity Policy.

NR 518 3/20/19

NR 562: LEADERSHIP AND MANAGEMENT WITHIN COMPLEX HEALTHCARE SYSTEMS

2. Use Microso] PowerPoint to create the presenta=on.

3. Each slide (excluding =tle and reference slides) must include detailed speaker notes.

a. The purpose of the speaker notes is to expand upon the idea and document facts and informa=on about the bulleted informa=on points on the slide.

b. Formal, scholarly wri=ng style with complete sentence and paragraph structure should be used to create the speaker notes.

c. Scholarly literature support should be integrated within the speaker notes.

d. Speaker notes assure that all assignment expecta=ons and key points are covered.

4. Within the speaker notes, the rules of grammar, spelling, word usage, punctua=on, sentence and paragraph structure are followed and consistent with formal, scholarly wri=ng as noted in the APA Manual (current edi=on).

5. First person should not be used for this scholarly assignment.

6. Cita=on and referencing of sources must be congruent with guidelines noted in the APA Manual (current edi=on).

7. Slides are professional in appearance with visually balanced text, font appropriate for audience reading, succinct bulleted points, and visually appealing contrast between background and font u=lized. Correct spelling and appropriate use of graphics/images is evident.

8. Sources older than five years may not be used without the permission of the class professor.

9. Please note: If you do not receive a proficient ra=ng in any major content category, you can re- submit your assignment with revisions in those content categories to receive a beder grade. You have one addi=onal opportunity to revise a]er the ini=al submission in order to make improvements. The ini=al submission must be a complete paper, rough dra]s will not be graded. All revisions must be submided no later than Sunday of Week 7 at 11:59pm. (You cannot revise your graduate-level wri=ng style for a higher grade in that category)

ASSIGNMENT CRITERIA

Assessment Criteria

Points % DescripJon

NR 518 3/20/19

NR 562: LEADERSHIP AND MANAGEMENT WITHIN COMPLEX HEALTHCARE SYSTEMS

IntroducJon 15 10% This sec=on includes: • Opening statements regarding the ra=onale

for responsible use of healthcare resources and significance of the issue across healthcare delivery systems

• Iden=fica=on of the sec=ons of the presenta=on

• Speaker notes are included for the slide(s) in this sec=on

• Sufficient integra=on of scholarly sources to support informa=on presented

ER Avoidable Use

15 10% This sec=on includes: • Overview surrounding the issue of ER

avoidable use • Explana=on of the impact on healthcare

systems and individual pa=ents • Speaker notes are included for the slide(s) in

this sec=on • Sufficient integra=on of scholarly sources to

support informa=on presented

Underlying Causes

30 20% This sec=on includes: • Iden=fica=on of three specific underlying

reasons for this misuse of healthcare resources

• Discussion regarding how each underlying issue is reflec=ve of a gap or problem within the current healthcare system

• Speaker notes are included for the slide(s) in this sec=on

• Sufficient integra=on of scholarly sources to support informa=on presented

Proposed SoluJon

45 30% This sec=on includes: • Proposal of one strategy to address or resolve

one of the underlying issues • Discussion regarding how the proposed

strategy will specifically address or resolve the issue

• Detailed explana=on of the resources necessary to opera=onalize the proposed strategy

• Speaker notes are included for the slide(s) in this sec=on

• Sufficient integra=on of scholarly sources to support informa=on presented

NR 518 3/20/19

NR 562: LEADERSHIP AND MANAGEMENT WITHIN COMPLEX HEALTHCARE SYSTEMS

Conclusion 15 10% This sec=on includes: • Concluding statements regarding the misuse

of healthcare resources and the resul=ng impact on individuals and healthcare systems

• Discussion regarding implica=ons of this issue for leaders in advanced nursing prac=ce

• Speaker notes are included for the slide(s) in this sec=on

Graduate-level WriJng Style

15 10% Graduate-level wri=ng style is included, evidenced by integra=ng the following standards:

• Correct use of spelling, grammar, punctua=on, sentence and paragraph structure within the speaker notes

• Correct use of spelling and word usage on the slides

• Clarity, organiza=on, and logical flow of ideas and informa=on on speaker notes and slides

• Alignment between informa=on on slides and speaker notes

• APA format (current edi=on) for ci=ng and referencing sources

• Congruence with APA mechanics of style (abbrevia=ons, capitaliza=on, italics, numbers)

• No direct quotes are used within the assignment

• First person is not used within the presenta=on slides or speaker notesGraduate-level

PresentaJon Style

15 10% Professional presenta=on is created, evidenced by the following:

• Slide design includes visually balanced text • Slide design provides contrast of color

between background and font used • Succinct, key points are presented on the

slides • No lengthy narra=ves are included on the

slides • Font size appropriate for audience viewing

(sized 18 or larger) • Use of graphics and/or images is professional

and appropriate for the topic

Quality of Literature Support

It is an expecta=on that a minimum of 4 scholarly sources, current within 5 years, are integrated within the assignment.

If the above expecta=on is not met, 4 points shall be deducted.

NR 518 3/20/19

NR 562: LEADERSHIP AND MANAGEMENT WITHIN COMPLEX HEALTHCARE SYSTEMS

Assignment Length Criteria

It is an expecta=on that the assignment is a minimum of 10 and a maximum of 12 slides in length (not including the =tle or reference slides).

If the above expecta=on is not met, 4 points shall be deducted.

Total 150 100% A quality assignment will meet or exceed the above requirements.

NR 518 3/20/19

GRADING RUBRIC

Assessment Criteria

DisJnguished

(100%)

Exceeds

(92%)

Proficient

(84%)

Needs Improvement

(0)

IntroducJo n

15 Points 13 Points 12 Points 0 Points

Dis=nguished presenta=on of informa=on evidenced by all of the following content areas covered in a comprehensive and concise manner:

• Opening statements regarding the ra=onale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems

• Iden=fica=o n of the sec=ons of the

Presenta=on of informa=on exceeds expecta=ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:

• Opening statements regarding the ra=onale for responsible use of healthcare resources and significance of the issue across healthcare

Proficient presenta=on of informa=on evidenced by content covered in a limited or superficial manner in two or more of the content areas:

• Opening statements regarding the ra=onale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems

• Iden=fica=

Presenta=on of informa=on needs improvement as evidenced by content that is missing or unsaJsfactory in one or more of the content areas:

• Opening statements regarding the ra=onale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems

• Iden=fica=o n of the sec=ons of the presenta=on ER

Avoidable 15 Points 13 Points 12 Points 0 Points

6

ER Avoidable Use Dis=nguished

presenta=on of informa=on evidenced by all of the following content areas covered in a comprehensive and concise manner:

• Overview surrounding the issue of ER avoidable use

• Explana=on of the impact on healthcare systems and individual pa=ents

• Speaker notes are included for the slide(s)

Presenta=on of informa=on exceeds expecta=ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:

• Overview surrounding the issue of ER avoidable use

• Explana=on of the impact on healthcare systems and individual

Proficient presenta=on of informa=on evidenced by content covered in a limited or superficial manner in two or more of the content areas:

• Overview surroundin g the issue of ER avoidable use

• Explana=on of the impact on healthcare systems and individual pa=ents

• Speaker

Presenta=on of informa=on needs improvement as evidenced by content that is missing or unsaJsfactory in one or more of the content areas:

• Overview surrounding the issue of ER avoidable use

• Explana=on of the impact on healthcare systems and individual pa=ents

• Speaker notes are included for the slide(s) Underlying

Causes 30 Points 27 Points 25 Points 0 Points

7

Underlying Causes Dis=nguished

presenta=on of informa=on evidenced by all of the following content areas covered in a comprehensive and concise manner:

• Iden=fica=on of three specific underlying reasons for this misuse of healthcare resources

• Discussion regarding how each underlying issue is reflec=ve of a gap or problem within the current healthcare

Presenta=on of informa=on exceeds expecta=ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:

• Iden=fica=on of three specific underlying reasons for this misuse of healthcare resources

• Discussion regarding how each underlying

Proficient presenta=on of informa=on evidenced by content covered in a limited or superficial manner in two or more of the content areas:

• Iden=fica=o n of three specific underlying reasons for this misuse of healthcare resources

• Discussion regarding how each underlying issue is reflec=ve of a gap or problem

Presenta=on of informa=on needs improvement as evidenced by content that is missing or unsaJsfactory in one or more of the content areas:

• Iden=fica=on of three specific underlying reasons for this misuse of healthcare resources

• Discussion regarding how each underlying issue is reflec=ve of a gap or problem within the current Proposed

SoluJon 45 Points 41 Points 37 Points 0 Points

8

Proposed SoluJon Dis=nguished

presenta=on of informa=on evidenced by all of the following content areas covered in a comprehensive and concise manner:

• Proposal of one strategy to address or resolve one of the underlying issues

• Discussion regarding how the proposed strategy will specifically address or resolve the issue

• Detailed explana=on of the resources necessary to opera=onalize

Presenta=on of informa=on exceeds expecta=ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:

• Proposal of one strategy to address or resolve one of the underlying issues

• Discussion regarding how the proposed strategy will specifically address or resolve the issue

• Detailed explana=on of the resources

Proficient presenta=on of informa=on evidenced by content covered in a limited or superficial manner in two or more of the content areas:

• Proposal of one strategy to address or resolve one of the underlying issues

• Discussion regarding how the proposed strategy will specifically address or resolve the issue

• Detailed explana=on of the resources necessary to

Presenta=on of informa=on needs improvement as evidenced by content that is missing or unsaJsfactory in one or more of the content areas:

• Proposal of one strategy to address or resolve one of the underlying issues

• Discussion regarding how the proposed strategy will specifically address or resolve the issue

• Detailed explana=on of the resources necessary to opera=onalize the proposed strategy

• Speaker notes Conclusion 15 Points 13 Points 12 Points 0 Points

9

Conclusion

Dis=nguished presenta=on of informa=on evidenced by all of the following content areas covered in a comprehensive and concise manner:

• Concluding statements regarding the misuse of healthcare resources and the resul=ng impact on individuals and healthcare systems

• Discussion regarding implica=ons of this issue

Presenta=on of informa=on exceeds expecta=ons evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial:

• Concluding statements regarding the misuse of healthcare resources and the resul=ng impact on individuals

Proficient presenta=on of informa=on evidenced by content covered in a limited or superficial manner in two or more of the content areas:

• Concluding statements regarding the misuse of healthcare resources and the resul=ng impact on individuals and healthcare systems

• Discussion

Presenta=on of informa=on needs improvement as evidenced by content that is missing or unsaJsfactory in one or more of the content areas:

• Concluding statements regarding the misuse of healthcare resources and the resul=ng impact on individuals and healthcare systems

• Discussion regarding implica=ons of this issue Graduate-

level WriJng 15 Points 13 Points 12 Points 0 Points

10

Graduate- level WriJng Style Dis=nguished

graduate-level wri=ng style is evidenced by mee=ng all of the following criteria with 0-1 errors total:

• Correct use of spelling, grammar, punctua=on, sentence and paragraph structure within the speaker notes

• Correct use of spelling and word usage on the slides

• Clarity, organiza=on, and logical flow of ideas and informa=on on speaker notes and slides

• Alignment between informa=on on slides and speaker notes

• APA format (current edi=on) for ci=ng and referencing sources

Graduate-level wri=ng style exceeds expecta=ons as evidenced by mee=ng the following criteria with 2-3 errors total:

• Correct use of spelling, grammar, punctua=on, sentence and paragraph structure within the speaker notes

• Correct use of spelling and word usage on the slides

• Clarity, organiza=on, and logical flow of ideas and informa=on on speaker notes and slides

• Alignment between informa=on on slides and speaker notes

• APA format (current edi=on) for

Proficient graduate-level wri=ng style is evidenced by mee=ng the following criteria with 4-5 errors, total:

• Correct use of spelling, grammar, punctua=on, sentence and paragraph structure within the speaker notes

• Correct use of spelling and word usage on the slides

• Clarity, organiza=on, and logical flow of ideas and informa=on on speaker notes and slides

• Alignment between informa=on on slides and speaker notes

Graduate-level wri=ng style needs improvement as evidenced by mee=ng the following criteria with 6 or more errors, total:

• Correct use of spelling, grammar, punctua=on, sentence and paragraph structure within the speaker notes

• Correct use of spelling and word usage on the slides

• Clarity, organiza=on, and logical flow of ideas and informa=on on speaker notes and slides

• Alignment between informa=on on slides and speaker notes

• APA format (current edi=on) for ci=ng and

Graduate- level

15 Points 13 Points 12 Points 0 Points

11

level PresentaJo n Style

Dis=nguished graduate-level presenta=on style is evidenced by mee=ng all of the following criteria with 0-1 errors total:

• Slide design includes visually balanced text

• Slide design provides contrast of color between background and font used

• Succinct, key points are presented on the slides

• No lengthy narra=ves are included on the slides

Graduate-level presenta=on style exceeds expecta=ons as evidenced by mee=ng the following criteria with 2-3 errors total:

• Slide design includes visually balanced text

• Slide design provides contrast of color between background and font used

• Succinct, key points are presented on the slides

• No lengthy narra=ves are included on

Proficient graduate-level presenta=on style is evidenced by mee=ng the following criteria with 4 errors, total:

• Slide design includes visually balanced text

• Slide design provides contrast of color between background and font used

• Succinct, key points are presented on the slides

• No lengthy

Graduate-level presenta=on style needs improvement as evidenced by mee=ng the following criteria with 5 or more errors, total:

• Slide design includes visually balanced text

• Slide design provides contrast of color between background and font used

• Succinct, key points are presented on the slides

• No lengthy narra=ves are included on the slides

Quality of Literature Support

0 Points Deducted 4 Points Deducted

A minimum of 4 peer-reviewed scholarly sources, current within 5 years, are integrated within the

The assignment fails to meet the requirement noted for quality of literature support.

Assignment Length ExpectaJo ns

0 Points Deducted 4 Points Deducted

The length of the assignment meets the criteria:

Minimum of 10 slides in length;

Maximum of 12 slides in length.

(Not including =tle or

The assignment fails to meet the requirement for length.

12