Composing the Executive Summary
key quality and safety outcomes.
Determine the strategic value to an organization of specific outcome measures.
Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.
Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.
Your summary of relevant outcome measures is based on your findings from the quality and safety gap analysis you completed in the previous assessment.
Your analysis of the gap between current and desired performance was the first step toward improving outcomes. You now have the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assessment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach this assessment, think about the stakeholders whose support you will need for the change you want to bring about.
What information is most essential for both the formal and informal stakeholders to understand about the proposed change?
How might you communicate the need for change using just a few sentences (this is often referred to as an “elevator speech”).
NURS_FPX6212_Assessment_2.1..docx.pdf
Executive Summary 1
Executive Summary
Name
Capella University
NURS-FPX6212: Healthcare Quality and Safety Management
Prof
October 2023
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Executive Summary 2
Introduction
In the steadily developing landscape of medical care administration, recognizing and
proficiently influencing result estimates regarding safety and quality is fundamental. This leader
synopsis thoroughly investigates the current result gauges unpredictably intertwined with an
exhibition issue that became visible during our careful gap examination. Inside the dynamic and
diverse medical services climate, we must furnish our executive group with a nuanced
comprehension of the multi-layered critical significance of these result measures. These actions,
as we will dive into, are not only pieces of information but instead impetuses for extraordinary
change inside our association. As we try to address our foundational challenges, they are signals
directing us toward a future set apart by elevated norms of security and quality. Through
executive summary, we mean to overcome any issues among information and significant
experiences, cultivating a more profound appreciation for these measurements’ vital role in the
overwhelming embroidery of our medical care framework.
Essential Quality and Safety Outcomes
Essential Quality and Well-being Results include critical markers that act as a compass
directing medical services associations toward arranging protected, powerful, and patient-
focused care. Understanding and observing these results is fundamental for assessing the general
presentation and adequacy of medical care conveyance frameworks (AHRQ, n.d.). Concerning
our association, the accompanying three classifications of crucial quality and security results are
especially critical:
Patient Safety Incidents: Patient well-being occurrences are significant in evaluating the
general well-being of care conveyance. These include various unfavorable occasions like
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Executive Summary 3
medicine errors, falls, careful intricacies, and emergency clinic-obtained contaminations.
Following these occurrences’ recurrence, type, and seriousness gives essential knowledge into
regions where enhancements are desperately required. Additionally, the proactive ID and relief of
patient security episodes are necessary to lessen hurt and work on persistent results, adjusting
straightforwardly with our obligation to patient well-being.
Hospital-Acquired Conditions (HACs): HACs address a subset of unfavorable occasions
that patients gain during their medical clinic stay and are mainly preventable with legitimate
consideration and disease control measures. Models incorporate strain ulcers, pressure ulcers,
central line-associated bloodstream infections (CLABSI), ventilator-associated pneumonia
(VAP), and catheter-associated urinary tract infections (CAUTI) (AHRQ, n.d.). Decreasing the
occurrence of HACs upgrades patient security and diminishes medical services costs, length of
stay, and the potential for lawful liabilities. Our association’s devotion to limiting HACs
highlights our obligation to convey protected and excellent consideration.
Mortality Rates: Observing death rates, especially in-hospital mortality, is an essential
quality measure revealing insight into medical services mediations’ viability. High death rates
can demonstrate likely issues in quiet consideration, therapy conventions, or the administration
of constant circumstances (AHRQ, n.d.). Decreasing death rates through proof-based rehearses
and opportune intercessions is not just a quality pointer but also a demonstration of our
association’s commitment to working on understanding results. By intently looking at mortality
information, we can distinguish regions for development and execute systems to save lives and
improve general care quality.
Strategic Value of Outcome Measures
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Executive Summary 4
The essential worth innate in these result measures reach past the domain of data of
interest, filling in as the foundation of our hierarchical mission. They can drive significant
upgrades in medical care quality and security, prompting improved patient results while
adjusting consistently with our all-encompassing objectives (American College of Healthcare
Executives, n.d.). These constantly observed, and fastidiously assessed actions are navigational
aids in the perplexing medical services landscape, empowering us to apportion assets reasonably
and focus on regions for development with careful accuracy. By coordinating our concentration
towards them, we seek not exclusively to decrease medical services costs by turning away
unfriendly occasions and entanglements but additionally to relieve lawful dangers frequently
connected with sub-par care; in this manner, bracing our association is standing for quality and
security and reinforcing our strategic advantage in the medical services market. Generally, these
results are more than simple measurements; they are the main thrust pushing us toward a future
where extraordinary medical care conveyance is a dream and a day-to-day reality.
Relationships between Systemic Problem and Outcome Measures
Our group examination pinpointed a fundamental issue: a high frequency of hospital-
acquired infections, strikingly catheter-associated urinary tract infections (CAUTI), and central
line-associated bloodstream infections (CLABSI), with our association’s exhibition missing the
mark concerning the ideal norm (World Health Organization, 2022). This foundational issue
complicatedly interweaves with our result measures, leading to expanded patient well-being
episodes because of contaminations, drawing out clinic stays, and taking a chance with hurt. In
addition, it lifts our hospital-acquired condition (HAC) rates, as CLABSI and CAUTI are HACs,
requiring their decrease to bring down general HAC rates. The higher death rates from medical
clinic-procured contaminations influence our in-hospital clinic death rates. At the same time,
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Executive Summary 5
diminished patient fulfillment follows as diseases deface the patient experience, bringing about
lower fulfillment scores. Handling this fundamental test is vital for working on quiet results and
maintaining the conveyance of protected, excellent consideration inside our association.
Outcome Measures and Strategic Initiatives
Our association is steadfastly dedicated to sustaining a culture saturated with quality and
well-being across all features of medical services conveyance. To understand this general
responsibility, we have presented a vital guide containing a few critical drives, with the
distinguished result estimates filling in as crucial parts in propelling these endeavors (CMS,
n.d.). These result measures, enveloping patient security incidents, hospital-acquired conditions
(HACs), death rates, and patient fulfillment, are essential in directing and surveying our
advancement toward the best patient consideration and well-being expectations.
One center drive fixates on the execution of complete contamination control programs,
unequivocally pointing toward decreasing central line-associated bloodstream infections
(CLABSI) and catheter-associated urinary tract infections (CAUTI). By thoroughly sticking to
contamination counteraction conventions and encouraging a culture of watchfulness, we
fundamentally upgrade patient security and, generally speaking, consideration of quality.
Furthermore, we have set out to fuse evidence-based practice (EBP) rules into our everyday
tasks, especially in disease counteraction. This approach guarantees that our consideration
rehearses are immovably grounded in the idea that anyone could hope to find proof of, raising
patient security and lining up with our obligation to convey care to the very pinnacle of viability
and industry greatness. These result estimates capability as fundamental measuring sticks,
empowering us to check the effect of EBP mix on decreasing patient well-being incidents and
HACs, reaffirming our devotion to quality and security.
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Executive Summary 6
Leadership Support for Implementation and Adoption
The initiative group in our medical care association assumes an imperative part in
working with extraordinary change and coordinating proposed practice upgrades to improve
quality and security. Their commitment traverses essential components supporting these drives’
progress (Institute for Healthcare Improvement, n.d.). Compelling correspondence remains the
foundation; initiative guarantees far-reaching equality of proposed changes, encouraging
grasping, diminishing obstruction, and ingraining a familiar feeling of direction among staff.
Furthermore, the industry focuses on asset designation, guaranteeing to the team, preparing
adequate hardware to help the proposed practice changes, engaging staff, relieving obstructions,
and showing a promise to mind quality and well-being.
Furthermore, the initiative encourages a culture of constant improvement by executing
checking and input instruments, giving continuous bits of knowledge, and empowering brief
acclimations to line up with hierarchical objectives. Finally, acknowledgment and impetuses are
utilized to propel staff in accomplishing wanted results, recognizing endeavors, and developing a
feeling of responsibility and pride in the change cycle. These complex authority endeavors are
crucial in driving positive change and guaranteeing the outcome of drives that improve patient
consideration quality and well-being inside our medical services association.
Conclusion
In conclusion, the recognized result measures, including patient well-being incidents,
clinic-obtained conditions, death rates, and patient fulfillment, are vital to our association’s
obligation to convey protected, powerful, and patient-focused care. They act as benchmarks for
execution evaluation, driving constant improvement and advancement. By actively checking
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Executive Summary 7
these measurements, we gain essential experiences in regions for an upgrade, empowering us to
focus on proof-based drives that raise care quality and security. Additionally, these actions add to
our more extensive hierarchical targets by lessening costs, alleviating lawful dangers, and
upgrading our seriousness in the medical services market. Our vision is to turn into a medical
care pioneer perceived for our steadfast devotion to patient prosperity and the determined quest
for quality, where praiseworthy medical care conveyance is the standard and our obligation to
somewhere safe remaining parts undaunted.
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Executive Summary 8
References
AHRQ. (n.d.). Reducing Waste and Inefficiency in Health Care Through Lean Process Redesign:
Literature Review. Retrieved from www.ahrq.gov website:
https://www.ahrq.gov/research/findings/final-reports/leanprocess/leanprocess.html
American College of Healthcare Executives. (n.d.). ACHE HEALTHCARE EXECUTIVE 2023
COMPETENCIES ASSESSMENT TOOL. Retrieved from
https://www.ache.org/-/media/ache/career-resource-center/cat_2023.pdf
CMS. (n.d.). Hospital-Acquired Conditions | CMS. Retrieved from www.cms.gov website:
https://www.cms.gov/medicare/payment/fee-for-service-providers/hospital-aquired-
conditions-hac/hospital-aquired-conditions
Institute for Healthcare Improvement. (n.d.). National Action Plan to Advance Patient Safety |
IHI – Institute for Healthcare Improvement. Retrieved October 3, 2023, from www.ihi.org
website: https://www.ihi.org/Engage/Initiatives/National-Steering-Committee-Patient-
Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx#:~:text=Health
%20Care%20That%20Is%20Safe
World Health Organization. (2022). Infection prevention and control GLOBAL. Retrieved from
www.who.int website: https://www.who.int/health-topics/infection-prevention-and-
control#tab=tab_1
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