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NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Student Name

Capella University

NURS-FPX 9901 Nursing Doctoral Project 1

Prof. Name

Date

Quality/Performance Improvement

Quality/Performance Improvement (QI/PI) is a systematic approach employed across various fields to enhance the quality, efficiency, and effectiveness of processes, products, or services. It involves identifying areas for improvement. In the context of this project, the quality performance will be assessed concerning staff education on nutritional modification and telehealth intervention for efficient Chronic Obstructive Pulmonary Disease (COPD) diagnosis. QI/PI methodologies aim to drive continuous improvement and achieve higher performance levels (AHRQ, 2020).

Describing the Current Practice Needing Improvement

The issue addressed pertains to the care provided to in-patients diagnosed with COPD, a chronic respiratory condition that significantly impairs lung function and quality of life (Konstantinidis et al., 2022). Patients often require specialized care to manage symptoms, improve lung function, and prevent readmissions. The root cause analysis indicates a gap in current practices, including insufficient knowledge about nutritional practices, timely follow-ups, and discerning requisite care for COPD management. The lack of appropriate emergency services further exacerbates the issue, resulting in prolonged waiting periods (Konstantinidis et al., 2022). The root cause suggests that current practices for COPD patients are not optimized for desired outcomes.

The gap analysis implies a need to address limitations in current practices for in-patients diagnosed with COPD. The project aims to explore and compare nutritional and telehealth interventions to bridge this gap, improve lung function values, and reduce readmission rates in COPD patients (Press et al., 2019; Wong et al., 2022).

A QI/QP Framework Supporting and Guiding the Project

To support and guide the project, a QI/QP framework, such as the Plan-Do-Study-Act (PDSA) model, can be utilized. The PDSA model provides a structured approach to identifying, implementing, and measuring the effectiveness of interventions. Key accomplishments, including literature review, study design, protocol development, and intervention implementation, will help meet project objectives through the PDSA model. Formative assessments involving feedback from stakeholders will provide valuable insights for project improvement (Burkes et al., 2018; Ko et al., 2019).

How QI/PI Data Will Be Collected and Analyzed

Collecting and analyzing QI/PI data are crucial for evaluating intervention effectiveness. Data sources include standardized assessment tools, medical records, patient surveys, and other relevant data sources. Comparative analysis will be employed to assess the impact of nutritional and telehealth interventions on lung function values and readmission rates. Formative assessments, including stakeholder feedback and continuous monitoring, will provide insights into progress and areas of improvement (Konstantinidis et al., 2022; Sculley et al., 2021).

Evaluation of Changes in Quality or Performance

Evaluation tools, such as COPD-related CKQ or spirometry tests, will be utilized to measure changes in knowledge levels, lung function values, and other outcomes. Quantitative data, including readmission rates, patient satisfaction scores, and other relevant measures, will be analyzed using appropriate statistical methods. The criteria for evaluating outcomes include effectiveness, efficiency, stakeholder engagement, and feedback, aligning with project objectives and allowing for comparison with baseline data (Robertson et al., 2021).

Conclusion

The project has demonstrated the effectiveness of QI/PI changes in improving care for COPD patients. Findings provide valuable insights for future initiatives. Continued monitoring, evaluation, and ongoing quality improvement efforts are essential for sustained success and the delivery of high-quality care to COPD patients.

References

Agency for Healthcare Research and Quality. (2020). Plan-Do-Study-Act (PDSA) directions and examples. www.ahrq.gov. https://www.ahrq.gov/health-literacy/improve/precautions/tool2b.html

Agency for Healthcare Research and Quality. (2020, January). Section 4: Ways to approach the quality improvement process (page 1 of 2) | Agency for Healthcare Research & Quality. ahrq.gov. https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html

Backhouse, A., & Ogunlayi, F. (2020). Quality improvement into practice. BMJ, 368(1). https://doi.org/10.1136/bmj.m865

Berry, G., Shabana, K. M., & New England Journal of Entrepreneurship. (2020). Adding a strategic lens to feasibility analysis. New England Journal of Entrepreneurship, 23(2), 67–78. https://doi.org/10.1108/NEJE-08-2019-0036

Burkes, R. M., Mkorombindo, T., Chaddha, U., Bhatt, A., El-Kersh, K., Cavallazzi, R., & Kubiak, N. (2018). Impact of quality improvement on care of Chronic Obstructive Pulmonary Disease Patients in an Internal Medicine Resident Clinic. Healthcare, 6(3), 88. https://doi.org/10.3390/healthcare6030088

Calvillo-Arbizu, J., Román-Martínez, I., & Reina-Tosina, J. (2021). Internet of Things in Health: Requirements, issues, and Gaps. Computer Methods and Programs in Biomedicine, 208. https://doi.org/10.1016/j.cmpb.2021.106231

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Furulund, E., Bemanian, M., Berggren, N., Madebo, T., Rivedal, S. H., Lid, T. G., & Fadnes, L. T. (2021). Effects of nutritional interventions in individuals with Chronic Obstructive Lung Disease: A Systematic review of randomized controlled trials. International Journal of Chronic Obstructive Pulmonary Disease, 16, 3145–3156. https://doi.org/10.2147/COPD.S323736

Haynes, J. (2018). Basic spirometry testing and interpretation for the primary care provider. Canadian Journal of Respiratory Therapy, 54(4), 92–98. https://doi.org/10.29390/cjrt-2018-017

Ko, F. W. S., Chan, K. P., & Hui, D. S. C. (2019). Comprehensive care for Chronic Obstructive Pulmonary Disease. Journal of Thoracic Disease, 11(S17), S2181–S2191. https://doi.org/10.21037/jtd.2019.09.81

Konstantinidis, A., Kyriakopoulos, C., Ntritsos, G., Giannakeas, N., Gourgoulianis, K. I., Kostikas, K., & Gogali, A. (2022). The role of digital tools in the timely diagnosis and prevention of acute exacerbations of COPD: A comprehensive review of the literature. Diagnostics, 12(2). https://doi.org/10.3390/diagnostics12020269

Li, S.-A., Jeffs, L., Barwick, M., & Stevens, B. (2018). Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: A systematic integrative review. Systematic Reviews, 7(1), 1–19. https://doi.org/10.1186/s13643-018-0734-5

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Press, V. G., Au, D. H., Bourbeau, J., Dransfield, M. T., Gershon, A. S., Krishnan, J. A., Mularski, R. A., Sciurba, F. C., Sullivan, J., & Feemster, L. C. (2019). Reducing Chronic Obstructive Pulmonary Disease hospital readmissions. An official American thoracic society workshop report. Annals of the American Thoracic Society, 16(2), 161–170. https://doi.org/10.1513/annalsats.201811-755ws

Robertson, N. M., Siddharthan, T., Pollard, S. L., Alupo, P., Flores-Flores, O., Rykiel, N. A., Romani, E. D., Ascencio-Días, I., Kirenga, B., Checkley, W., Hurst, J. R., Quaderi, S., & GECo Investigators. (2021). Development and validity assessment of a Chronic Obstructive Pulmonary Disease Knowledge Questionnaire in low- and middle-income countries. Annals of the American Thoracic Society, 18(8), 1298–1305. https://doi.org/10.1513/AnnalsATS.202007-884OC

Sculley, J. A., Musick, H., & Krishnan, J. A. (2021). Telehealth in Chronic Obstructive Pulmonary Disease: before, during, and After the Coronavirus Disease 2019 Pandemic. Current Opinion in Pulmonary Medicine, 28(2), 93–98. https://doi.org/10.1097/mcp.0000000000000851

Wang, C., Siff, J., Greco, P. J., Warren, E., Thornton, J. D., & Tarabichi, Y. (2022). The impact of an Electronic Health Record Intervention on spirometry completion in patients with Chronic Obstructive Pulmonary Disease. COPD: Journal of Chronic Obstructive Pulmonary Disease, 19(1), 142–148. https://doi.org/10.1080/15412555.2022.2049736

White, R. (2020). Implementation of a fall risk assessment tool in primary practice may decrease fall frequency in the ageing population. Doctoral Dissertations and Projects. https://digitalcommons.liberty.edu/doctoral/2768/

Wong, A. K. C., Bayuo, J., Wong, F. K. Y., Yuen, W. S., Lee, A. Y. L., Chang, P. K., & Lai, J. T. C. (2022). Effects of a nurse-led telehealth self-care promotion program on the quality of life of community-dwelling older adults: Systematic review and meta-analysis. Journal of Medical Internet Research, 24(3). https://doi.org/10.2196/31912