DASHBOARD BENCHMARK Miatta Teasley Capella University Running Head: DASHBOARD BENCHMARK DASHBOARD BENCHMARK April 19,2022 DASHBOARD BENCHMARK Second Quarter Hypertension Intervention Compliance at Med for adults presenting with Diabetes Intervention Needed Completed Compliance Percentage Initial Lactate within 3 hours 30 30 100% Blood cultures were drawn before antibiotics 22 17 77% Antibiotics administered within 3 hours 22 20 91% Fluid resuscitation if in septic shock within 2hours 19 12 63% Vasopressors if hypertension persists after fluid or lactate >4mmoL/L within 6 hours 12 7 58% Overall 105 86 82% Second Quarter Dialysis Intervention Compliance and Inpatient Mortality Patient ID Number of Interventions needed Number of Interventions completed Inpatient Mortality 2000 4 2 0 2014 3 3 1 2098 2 1 0 2134 5 4 0 2156 3 4 1 2245 4 2 0 2345 3 3 1 2567 5 4 1 2676 4 1 1 2935 3 2 0 Note: The Staffing benchmark for the nurse staffing unit is 3 patients per nurse. The average monthly staffing for the unit is 3 nurse workloads. The average number of patients in the unit per month in the third quarter was 5.75. The data above is a review regarding the compliance of Dialysis measures and interventions compliance and the sample of the second quarter inpatient mortality. The information below entails evaluating the data, which indicates that various departments need to be improved, and a proposal for a specific area and target for improvement. Evaluation of Dashboard Metrics There are several inefficiencies in regards to dialysis measures at Med. From the dashboard concerning the compliance of executing the arranged measures and procedures, the two stand out at the 77% compliance rate on drawing blood cultures before running antibiotics and 58% compliance rate on administering vasopressors for those patients that require them. As per Medicare.Gov (n.d), the national average for meeting dialysis guidelines is 72%, and the state of Minnesota is 60% which indicates that Med is performing at 82% overall testing. Higher percentages are required to ensure the advanced quality of life for residents of the healthcare institution (Morfín et al., 2018). Failure to complete blood draws for cultures before running broad-spectrum antibiotics; there will be an incapability to authorize contamination and the responsible pathogen. This can result in an inefficient or ineffective intervention for aiding a patient. Moreover, by failing to confirm infection from the start, unnecessary and wasteful care interventions could be performed or ordered for patients (Morfín et al., 2018). As per the failure to administer vasopressors, the institution is gambling with the patient's life. As the reinforcement for the dialysis unit states, vasopressor therapy is needed to sustain and uphold perfusion in the wake of life-threatening hypertension. The needed nature of compliance concerning administering this intervention can be seen in the samp.

1. DASHBOARD BENCHMARK
Miatta Teasley
Capella University
Running Head: DASHBOARD BENCHMARK
DASHBOARD BENCHMARK
April 19,2022
DASHBOARD BENCHMARK
Second Quarter Hypertension Intervention Compliance at Med
for adults presenting with Diabetes
Intervention
Needed
Completed
Compliance Percentage
Initial Lactate within 3 hours
30
30
100%
Blood cultures were drawn before antibiotics

2. 22
17
77%
Antibiotics administered within 3 hours
22
20
91%
Fluid resuscitation if in septic shock within 2hours
19
12
63%
Vasopressors if hypertension persists after fluid or lactate
>4mmoL/L within 6 hours
12
7
58%
Overall
105
86
82%
Second Quarter Dialysis Intervention
Compliance and Inpatient Mortality
Patient ID
Number of Interventions needed
Number of Interventions completed
Inpatient Mortality
2000
4
2
0
2014
3
3
1

3. 2098
2
1
0
2134
5
4
0
2156
3
4
1
2245
4
2
0
2345
3
3
1
2567
5
4
1
2676
4
1
1
2935
3
2
0
Note: The Staffing benchmark for the nurse staffing unit is 3
patients per nurse. The average monthly staffing for the unit is
3 nurse workloads. The average number of patients in the unit
per month in the third quarter was 5.75.

4. The data above is a review regarding the compliance of Dialysis
measures and interventions compliance and the sample of the
second quarter inpatient mortality. The information below
entails evaluating the data, which indicates that various
departments need to be improved, and a proposal for a specific
area and target for improvement.
Evaluation of Dashboard Metrics
There are several inefficiencies in regards to dialysis measures
at Med. From the dashboard concerning the compliance of
executing the arranged measures and procedures, the two stand
out at the 77% compliance rate on drawing blood cultures
before running antibiotics and 58% compliance rate on
administering vasopressors for those patients that require them.
As per Medicare.Gov (n.d), the national average for meeting
dialysis guidelines is 72%, and the state of Minnesota is 60%
which indicates that Med is performing at 82% overall testing.
Higher percentages are required to ensure the advanced quality
of life for residents of the healthcare institution (Morfín et al.,
2018).
Failure to complete blood draws for cultures before running
broad-spectrum antibiotics; there will be an incapability to
authorize contamination and the responsible pathogen. This can
result in an inefficient or ineffective intervention for aiding a
patient. Moreover, by failing to confirm infection from the start,
unnecessary and wasteful care interventions could be performed
or ordered for patients (Morfín et al., 2018). As per the failure
to administer vasopressors, the institution is gambling with the
patient's life. As the reinforcement for the dialysis unit states,
vasopressor therapy is needed to sustain and uphold perfusion in
the wake of life-threatening hypertension. The needed nature of
compliance concerning administering this intervention can be
seen in the sample of data concerning compliance and inpatient
mortality. As per the four patients needing vasopressors, they

5. received three, and one did not. The one that did not die. A
study of data from patients from 2014 to 2017 indicated that the
inhouse mortality ranges from 14.7% to 29.9%. Based on the
information above, Med has a 42% mortality rate which is
intolerable.
Analysis of challenges in attaining satisfactory performance
There are two chief challenges facing the institution, and the
patient care department is liable for the care of adult patients
with Diabetes. The first issue is that the Department is
understaffed across the period. In a monthly average patient
number, the Department was understaffed by 1.34 nurse
workload departments. This is difficult because involvement
may not have been achieved because of the lack of suitable
employment. Moreover, from the compliance unit's perspective,
the institution has not been employing the required standard for
the Department. Healthcare personnel working in all units
should have HIPAA certificates that indicate that they are
competent enough to handle dialysis units and give proper dose.
There are issues when it comes to employing qualified and
competent staff, including financial burden and logistics
(Rizzolo, Novick & Cervantes, 2020). Nonetheless, it happens
that additional staffing is needed for the care unit. This results
in the divergement of patients to other facilities, which can
result in huge financial constraints, as evidenced in the facility.
The other challenge is the potential cause of dialysis
intervention that is not being administered in the right way,
which is that Med does not have a formal policy or practice
rules for any of the care at any level in the institution. The
National Chronic Kidney Disease Benchmark indicates that
patients with kidney disease should at least have 3
haemodialysis in a week. Each session should last for three to
five hours. There is a memorandum that the institution for
critical care medicine has produced the definitive guidelines for
practice around treating adult diabetes. Nonetheless, there are
no procedures regarding how personnel in Med should be
applying these resources to their practice. Guidelines to

6. safeguard the ordering required for tests should be developed
and reinforced (Rizzolo, Novick & Cervantes, 2020).
Areas of Improvement
Looking into the data in the dashboards, the institutions must
design a plan within the recommended interventions for dialysis
that are presently tracked, which will offer the best result for
administering vasopressors and blood culture. This
recommendation is from the perspective of the patient as well as
ethical care. Fifty percent mortality rate in patients in the
second quarter of dialysis sample did not receive the needed
intervention, which is intolerable. As a result, guidelines should
be put in place to ensure patient care. Designing a training
program is essential to introduce nurses and doctors to the
practice guidelines to address the matter. The tactic is also
needed to concentrate on the necessities of compliance with
undertaking all important interventions from the perspective of
the patient's safety (Erickson & Winkelmayer, 2018).
The accumulation of automated protocols could aid in ensuring
that there are timely responses to meet the tests needed when
undertaking dialysis in patients. The institution should involve
key stakeholders, including ordering providers, nurses,
laboratory personnel, and the Department of technology and
information. Each unit is required to safeguard the timely
ordering and completion of the essential testing for dialysis.
Admittedly, the tactic does not address the shortage of nurse
personnel (Crews & Novick, 2020). Nonetheless, by formalizing
training and education of the personnel that the institution does
have automated systems, it is hoped that the institution will
mitigate some of the challenges in staffing. At the same time, a
recommendation in the human resource department and finance
department are met.
Thank you for reading through the report. I hope that all the
queries needed to be looked into have been answered in the
paper. If any information has not been addressed, kindly inform
me through my email or make an appointment in my office. I
would be interested in aiding you in shaping the direction that

7. will develop the policy and practice guidelines to ensure
efficient and effective patient care for dialysis patients.
References
Crews, D. C., & Novick, T. K. (2020, January). Achieving
equity in dialysis care and outcomes: the role of policies. In
Seminars in dialysis (Vol. 33, No. 1, pp. 43-51).
Erickson, K. F., & Winkelmayer, W. C. (2018). Evaluating the
evidence behind policy mandates in US dialysis care.
Journal of the American Society of Nephrology,
29(12), 2777-2779.
Medicare.Gov (n.d.) Hospital Compare. Timely and Effective
Care. dialysis Care. Minneapolis MN.
https://www.medicare.gov/hospitalcompare/compare.html#cmpr
Tab=2&cmp
rID=240080%2C240053&cmprDist=2.3%2C7.9&dist=25&loc=
MINNEAPOLI S%2C%20MN&lat=44.983334&lng=-93.26667
Morfín, J. A., Yang, A., Wang, E., & Schiller, B. (2018,
January). Transitional dialysis care units: a new approach to
increase home dialysis modality uptake and patient outcomes.
In
Seminars in Dialysis (Vol. 31, No. 1, pp. 82-87).
Rizzolo, K., Novick, T. K., & Cervantes, L. (2020). Dialysis
care for undocumented immigrants with kidney failure in the
COVID-19 era: public health implications and policy
recommendations.
American Journal of Kidney Diseases,
76(2), 255-257.
S.M.A.R.T Goal Worksheet
INITIAL GOAL
I am aiming to provide sufficient information regarding

8. childhood obesity. The data provided below includes
information on strong nutritional standards the need to perform
the physical exercise to keep a healthy weight.
S
SPECIFIC
Most childhood obesity is caused by too much caloric intake
with little or no caloric expenditure. There is a need for
parents/guardians to serve children with healthy diets and
involve them in activities that help burn excess fat. The two
should be initiated as soon as possible to reduce the risk of a
child having a high prevalence of developing later life health
problems. Serving balanced diets and involving children in
physical activities is the only way to prevent and treat
childhood obesity.
M
MEASURABLE
Some notable changes that indicate progress in children include
increased appetite, increased movement, increased lean body
mass, improvement in energy intake control, and metabolic and
psychological profiles.
A
ACHIEVABLE
There are no skills required while working towards such goals.
Cooking healthy meals and assigning easy tasks to children, and
involving them in physical activities like playing football
requires no special skills. The motivation here is to get your
child back to a healthy state. Parent/guardians can talk to school
management to reduce any foods that may increase the risk of
causing early age obesity and adopt a routine that serves healthy
foods.
R
RELEVANT
I work in a clinic where many obese children are brought in due
to health problems caused by obesity. Research and evidence-
based data recommend serving healthy diets to children and
involving them in physical activities. Drugs for the control and

9. treatment of obesity are discouraged due to dangerous side
effects.
T
TIME-BOUND
Depending on the child's age and whether they have other health
conditions, results may vary from child to child; but
improvement should be noted in two to three months.
SMART GOAL
I want to urge all parents/guardians to make children's
childhood safe and healthy by changing to healthy meals and
increasing their physical activity.