Quality plans are used by healthcare facilities to provide frameworks for collaboratively planned, systematic, and organization-wide approaches to improvement. These quality plans are always kept on-site, updated yearly, and reviewed by surveyors and accreditors. For your final project, you will develop a healthcare organization quality plan. This will assist you in synthesizing your prior knowledge of performance improvement. This will also help you to see how quality performance encompasses all stakeholders and departments in the healthcare organization. This assessment addresses the following course outcomes:  Incorporate regulatory requirements and accreditation standards into quality planning  Evaluate appropriate methods of healthcare data collection, interpretation, and presentation for informing decision making  Prioritize performance improvement initiatives and data collection needs in healthcare organizations through evaluation of organizational quality programs  Synthesize changes in healthcare reimbursement for their influences on the healthcare organization’s ability to provide quality and safe patient care  Evaluate requirements of current quality and safety initiatives for how they influence delivery of ethical care in healthcare organizations  Assess leadership strategies that promote interdisciplinary collaborative care within healthcare organizations Prompt In this assignment, you will be developing a quality plan—also known as a performance improvement plan—for a healthcare organization. This plan may be developed for an acute care facility, a day surgery facility, an ambulatory care organization, a clinic setting, a long-term care facility, or some other type of healthcare organization with which you may be familiar, given your own professional healthcare work experience. In addressing the critical elements for this assignment, all APA formatting and citation requirements apply. Furthermore, as this is a scholarly initiative, you must use peer-reviewed or evidence-based sources for this assignment. Data may be derived from public healthcare databases, or you may use data from your own healthcare organization. Specifically, the following critical elements must be addressed: I. Quality Statement A. Craft your healthcare organization’s quality philosophy by discussing the National Quality Strategy priorities and their application to the overall organizational quality plan. B. Analyze how this healthcare organization’s mission is correlated with its quality philosophy. C. Assess the role of quality within value-based reimbursement in this particular healthcare organization. D. How is leadership involved in the dissemination and application of quality data at this healthcare organization? II. Quality Infrastructure A. Provide brief details about the organization’s information management system, including what type of system is used and patient records management. B. What phases of meaningful use have been implemented to d.

1. Quality plans are used by healthcare facilities to provide
frameworks for collaboratively planned, systematic, and
organization-wide approaches to improvement. These quality
plans are always kept on-site, updated yearly, and reviewed by
surveyors and accreditors. For your final project, you will
develop a healthcare organization quality plan. This will assist
you in synthesizing your prior knowledge of performance
improvement. This will also help you to see how quality
performance encompasses all stakeholders and departments in
the healthcare organization. This assessment addresses the
requirements and accreditation standards into quality planning
ction,
interpretation, and presentation for informing decision making
collection needs in healthcare organizations through evaluation
healthcare reimbursement for their influences on the healthcare
Evaluate requirements of current quality and safety initiatives
for how they influence delivery of ethical care in healthcare
organ
interdisciplinary collaborative care within healthcare
organizations Prompt In this assignment, you will be developing
a quality plan—also known as a performance improvement
plan—for a healthcare organization. This plan may be
developed for an acute care facility, a day surgery facility, an
ambulatory care organization, a clinic setting, a long-term care
facility, or some other type of healthcare organization with
which you may be familiar, given your own professional
healthcare work experience. In addressing the critical elements
for this assignment, all APA formatting and citation
requirements apply. Furthermore, as this is a scholarly
initiative, you must use peer-reviewed or evidence-based
sources for this assignment. Data may be derived from public

2. healthcare databases, or you may use data from your own
healthcare organization. Specifically, the following critical
elements must be addressed: I. Quality Statement A. Craft your
healthcare organization’s quality philosophy by discussing the
National Quality Strategy priorities and their application to the
overall organizational quality plan. B. Analyze how this
healthcare organization’s mission is correlated with its quality
philosophy. C. Assess the role of quality within value-based
reimbursement in this particular healthcare organization. D.
How is leadership involved in the dissemination and application
of quality data at this healthcare organization? II. Quality
Infrastructure A. Provide brief details about the organization’s
information management system, including what type of system
is used and patient records management. B. What phases of
meaningful use have been implemented to date? C. Outline how
performance improvement data and initiatives are tracked
through the organization, starting at the department level.
Consider using a visual aid to depict this. D. Discuss leadership
strategies that ensure stakeholder and community input into the
quality program. E. Discuss how the infrastructure of this
healthcare organization supports data abstraction to support
pay-for-performance (P4P) reporting requirements for the
Centers for Medicare & Medicaid Services (CMS) and other
insurance providers. III. Process for Evaluation and
Dissemination A. Describe the various stakeholder groups
involved in the performance improvement process (e.g., nursing
leadership, departmental directors, etc.). Consider using an
organizational chart to depict these stakeholders. B. How does
leadership in various departments promote involvement in
performance improvement? C. Evaluate the frequency of
performance improvement initiatives and timeline for
submission of data. D. Describe the processes for collecting,
interpreting, and presenting data within the organization. E.
Define the metrics required for the hospital value-based
purchasing program through CMS and provide the rationale for
inclusion of these outcome and process-of-care measures. IV.

3. Define the following metrics for their use in the quality plan,
including how they meet accreditation or quality requirements
and how their use influences delivery of ethical care in the
healthcare organization. Consider including a current example
of each of these metrics. A. Core measures included in the
quality plan B. Inpatient and outpatient scores (HCAHPS) C.
NDNQI included in the quality plan D. Serious reportable
events related to the quality plan E. CAUTI, CLABSI, and
surgical site infections (infection prevention) F. Reporting of
blood usage G. Culture of safety scores V. Accreditation
Compliance A. Describe the current status of accreditation (i.e.,
Joint Commission, CMS). Consider including logical reasoning
on why this healthcare organization has attained this current
status of accreditation. B. From the most recent accreditation
survey, describe the areas needing improvement that were
identified. VI. Evaluate and Prioritize Performance
Improvement A. Justify the timeline for evaluation of
performance improvement activities. Consider using a visual
aid. B. Delineate the role of the Quality Improvement Council.
C. What is the Plan, Do, Study, Act (PDSA) process for
incorporating necessary changes in standards and practice
pursuant to performance improvement data? Mi