course materials

1. CAUTIs Incidence Reduction at HCA Healthcare
CAUTIs Incidence Reduction at HCA HealthcareCAUTIs Incidence Reduction at HCA
HealthcareThe Business Case for Quality: Instructions The Essentials, published by the
American Association of Colleges of Nursing, dictate that graduates of MSN and DNP
programs have certain skills, including organizational and systems leadership, the ability to
translate evidence into practice, and the ability to function on a multidisciplinary team to
improve client outcomes. Spearheading a quality improvement project requires each of the
above skills. By this level, students are usually comfortable navigating evidence, but have
not yet managed the business components of leading a quality improvement project.
Healthcare is, in fact, a business, and to continue to positively affect client outcomes, the
care provided must be sustainable financially. For this assignment you will be discussing a
problem in the institution where you work or at an institution where you are precepting or
plan to work. Ultimately, this assignment builds a case for why change is needed and why
administration should accept your proposed solution. It needs to be well researched and
thorough. The following steps outline what you need to accomplish for this assignment.
Additional questions are welcome and should be posted in the Course Q&A. Step 1:
Approval. Receive approval on your topic from your faculty. A business case that is
submitted without prior approval will receive a 10% deduction. Your faculty are here to
help you identify ideas that will be successful. See Business Case Topic Selection Discussion
for instructions on what to submit. Step 2: Introduction. Introduce your business case.
Include a discussion of the importance of QI science to research and the development of the
evidence-based practices that guide our profession. A good introduction should be one (1)
paragraph grabbing the reader’s attention. The last sentence should end with a single thesis
or purpose statement. Step 3: Current Situation. Describe the current situation that you
have identified as needing a change. Include the organizational specific data that have led to
the problem (staffing, care flow, etc.) as well as evidence that s the existence of the issue
(cost and incidence of the problem) and the impact of this problem on your organization
and clients (suboptimal outcomes, wasted materials, prolonged stays or readmissions, or
inefficient use of human resources). This section should be ed with monetary figures,
percentages, incidences, and all other relevant figures. CAUTIs Incidence Reduction at HCA
HealthcareORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSStep 4: Proposed
Evidence-Based Solution. Identify, synthesize, and summarize the data regarding the
evidence-based solution to your problem. This may include research studies, clinical
practice guidelines, and peer-reviewed articles. You can adapt the plan or evidence to your

2. setting, but you must be able to provide APA-formatted citations of the literature that s
your solution. At the end of this section, apply the evidence that you found by addressing
the expected changes in the costs and incidence that you introduced in the previous section.
For example, how much can this change impact the current incidence of the problem? How
much money will be saved if the implementation is successful? Step 5: Market Analysis.
Complete a SWOT analysis and include as an appendix. You may use the template provided
to you in the course or one of your choosing. You are responsible for ensuring that your
chosen template contains all required components. Follow the link provided to you on
SWOT in your Required Resources for this module. The resource poses questions that help
you identify the strengths, weaknesses, opportunities, and threats affecting your project.
You know your organization better than anyone; don’t be afraid to think outside the box.
Step 6: Implementation. Describe your plan for implementation. This is a timeline that
should outline and provide details of needed steps and the timeframes in which each is to
be accomplished. Questions to consider include: Where will you begin? Do you need
administrative approval? Who needs to be on your implementation team or committee?
What designated roles and responsibilities are associated with this committee? Will job
descriptions need to be developed? Will a policy need to be revised or developed and who
will do it? Do materials or supplies need to be purchased? What provider and staff
education is needed? This section should address the detailed answers of the above
questions. Present this section in an APA-formatted bulleted list. In sequential order,
address each step necessary beginning with approval and ending with “go live.” CAUTIs
Incidence Reduction at HCA HealthcareBullets can and should have more than one sentence
to fully include the necessary details. Each bullet should also address the timeframe needed
to complete each step. Step 7: Evaluation. The evaluation has two components: client-
centered and financial. A. Identify (a) structure, (b) process, and (c) outcome measures to
evaluate the effectiveness of your plan’s implementation. Begin with the end in mind and
identify the outcome measures (goals/benchmarks/metrics) that you intend to achieve.
Describe the processes (process measures) contributing to the identified problem and
identify measurement criteria that indicate they are improving as a result of implementing
your project. Identify any structure measures that are present or needed to achieve the
selected outcome measures. Clearly identify in your writing which measures you consider
to be your outcome, process, and structure measures. Review your Required Resources for
further assistance. B. Return on Investment (ROI). The administrative team will expect you
provide an evaluation plan that best measures the ROI. This should be based on the
incidence and cost figures that you identified earlier in your paper. Address whether the
project is revenue-generating or expense-reducing. Compare the cost of the current
situation to the the cost of the new plan. Determine how much money would be gained or
saved by implementing your plan and how. For example, do you expect decreased length of
stay, decreased costs of complications, or less equipment waste? Calculate the expected
return on investment (ROI). Use the ROI formula provided in the Required Resources and
review the examples provided to you there. Remember that revenue and profits are not the
same thing. A typical time frame to ensure that a plan is working is at least 1 year Discuss
and explain your math and results. Step 8: Budget. You need to include a budget for your

3. project also as an appendix.CAUTIs Incidence Reduction at HCA HealthcareThe budget
should be a table with line items that include (a) description of expenses required, (b) cost
for each, (c) quantity for each expense, and (c) total cost for each expense. Consider the cost
to educate staff, the work of your implementation team, marketing, salaries if hiring staff,
equipment, physical space, etc., as applicable. Each expense should be denoted as a direct or
indirect cost. It should be clear how you came up with the total costs. You will need to use
real figures. Do not make up numbers. You can find these numbers from the literature, or it
may be that you will need to ask an administrator or an individual who orders supplies for
these figures, and cite this as personal communication in the body of your paper. All figures
and economic data will need a reference. Your implementation plan and budget should be
congruent. The expenses presented here should be easily connected to the steps you
outlined in your implementation plan. Step 9: Dissemination Plans. The last step in the QI
process is not just evaluating your results but sharing your project, experience, and results
with others. Discuss your plans for dissemination. Begin by explaining the importance of
disseminating QI results. Go on to address (a) the message that will be at the center of your
dissemination, (b) the audience you will be presenting this to, (c) the method of
dissemination, and (d) when this would best take place and why. Step 10: Conclusion.
Conclude the paper. It should address the major takeaways from your assignment. No new
information should be present in a conclusion. CAUTIs Incidence Reduction at HCA
HealthcareAdditional Notes: • The paper should be organized with headings per APA
format. At minimum, everyone should have one, Level I heading for each section of the
rubric. Depending on writing style, students may prefer to use both Level I and Level 2
headings for the evaluation section. Headings should be present in the same order in which
they are presented in the rubric. • The paper should be written in a formal, scholarly style
and based on primary resources. Correct APA format is required. The paper should be
approximately 5-6 pages in length (excluding title page, reference pages, and appendices)
and should have a minimum of 10 peer-reviewed references. References should be timely:
published within the previous five (5) years. • Each paper, with appendices, will be
automatically submitted to turnitin.com. • Submission Instructions: Each paper should be
submitted in Word or PDF format to the appropriate assignment area. There will be one
document uploaded to the Assignment area. PICO Question: In patients with indwelling
urinary catheters, does the emphasis on nursing interventions such as nursing bundled care
regarding the need for early removal decrease the risk of CAUTI in the acute care setting? P-
Patients with indwelling urinary catheters I-Nursing interventions regarding the need for
early removal of indwelling urinary catheters C-Nursing interventions not implemented for
indwelling urinary catheters O-Decrease the risk of CAUTI (catheter associated urinary tract
infections) In order to decrease the risk of CAUTI in patients, there should be protocols in
place for indwelling urinary catheters. According to (Bernard et al., 2012) urinary catheters
are used without clear indications. It is vital for nurses to assess the need for indwelling
urinary catheters. This in result increases the risk of CAUTI and can also be costly for the
facility. Reference Bernard, M. S., Hunter, K. F., & Moore, K. N. (2012). A Review of Strategies
to Decrease the Duration of Indwelling Urethral Catheters and Potentially Reduce the
Incidence of CatheterAssociated Urinary Tract Infections. Urologic Nursing, 32(1), 29-37 9p.

4. Steps 5-8 on the Instructions sheet attached is very crucial and detailed. Please make sure
to follow to the T. I have attached correlating documents for creating a SWOT analysis and
calculating the Return on Investment (ROI) to guide you. The paper should be organized
with headings per APA format.CAUTIs Incidence Reduction at HCA HealthcareAt minimum,
everyone should have one, Level I heading for each section of the rubric. Depending on
writing style, students may prefer to use both Level I and Level 2 headings for the
evaluation section. Headings should be present in the same order in which they are
presented in the rubric. The paper should be written in a formal, scholarly style and based
on primary resources. Correct APA format is required. The paper should be approximately
5-6 pages in length (excluding title page, reference pages, and appendices) and should have
a minimum of 10 peerreviewed references. References should be timely: published within
the previous five (5) years. RUBRIC Business Case for Quality Business Case for Quality
Criteria This criterion is linked to a Learning Outcome Introduction 1. Introduction of
business case proposal. 2. Discussion of the relevance of QI is included. Ratings 2.0 pts Fully
Met Introduction is present as a single paragraph and contains well developed background
information, ing statements, relevance to nursing practice, and ends in a thesis statement.
A discussion of the relevance of QI is included. 1.5 pts Partially Met The introduction was
well done with sufficient and development. All expected criteria were met, but the thesis
statement was missing or unclear. 1.0 pts Minimally Met Introduction is present, but
background information and ing statements are underdeveloped. Two or more required
components are missing. The introduction is longer than a single paragraph and/or does
not end in a thesis. Pts 0.0 pts Not Met Introduction is absent or minimally developed as
evidenced by the absence of ing statements, or relevance to nursing, or a thesis statement.
2.0 pts Business Case for Quality Criteria This criterion is linked to a Learning Outcome
Current Situation 1. Describes the current situation at the chosen organization. 2. Includes
the incidence and cost of the chosen problem. CAUTIs Incidence Reduction at HCA
Healthcare