Draft a 6-page report on outcome measures, issues, and opportunities for the executive leadership team or applicable stakeholder group.  

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
  • Identify typical quality and safety outcomes and their associated measures.
• Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
  • Analyze organizational functions, processes, and behaviors in high-performing organizations.
  • Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.
  • Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
• Competency 4: Synthesize the various aspects of the nurse leader's role in developing, promoting, and sustaining a culture of quality and safety.
  • Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
• Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
  • Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Drafting the Report

• Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
• Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
• Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close. Create a spreadsheet showing the outcome measures.
• Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
• Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.

The following resources provide context and background information that will help you with this assessment.

• Mackey, A., & Bassendowski, S. (2017). The history of evidence-based practice in nursing education and practice. Journal of Professional Nursing, 33(1), 51–55. doi:http://dx.doi.org/10.1016/j.profnurs.2016.05.009
  • In this article, the authors discuss how one group developed and then tested relevant quality measures.
• Ismail, A., Ansell, G., & Barnard, H. (2020). Fitting in, standing out, and doing both: Supporting the development of a scholarly voice. Journal of Management Education, 44(4), 474–489. doi:https://doi-org.library.capella.edu/10.1177/1052562920903419
• Tsironis, L. K., & Psychogios, A. G. (2016). Road towards Lean Six Sigma in service industry: A multi-factor integrated framework. Business Process Management Journal, 22(4), 812–834. doi:http://dx.doi.org.library.capella.edu/10.1108/BPMJ-08-2015-0118
  • In this article, the authors present a framework that describes the behaviors and beliefs of high-performing organizations.
• NewsCAP: Joint Commission revises National Patient Safety Goal for suicide prevention. (2019, March). American Journal of Nursing, 119(3), 13.doi:10.1097/01.NAJ.0000554020.75227.67
• National Database of Nursing Quality Indicators (NDNQI). (n.d.). JCAHO core measures. http://nursingandndnqi.weebly.com/index.html
  • Explore this resource and examine the indicators related to the effects of nursing on safety, quality, and outcomes.
• Vila Health: Quality and Safety Gap Analysis.
  • The following interactive exercise suggests an approach to drafting a detailed report for executive leaders addressing outcome measures and performance issues or opportunities, which may help you with the assessment