The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders.
The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.
Scenario
You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.
Assignment
Create a 10-15 slide PowerPoint presenting the data to the stakeholders. Address the following in your PowerPoint:
- What conclusions can be drawn for each quality measure over the 5-year period?
- What trends do you see for each quality measure over the 5-year period?
- When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?
- Based on your examination of the data, which of the quality measures should you prioritize and why?
- Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.
- Explain how you would monitor the metric and use collected data for improvement.
Include a title slide, references slide, and comprehensive speaker notes.
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
This benchmark assignment assesses the following programmatic competency:
MSN Emphasis in Leadership in Health Care Systems
6.6 Develop and monitor continuous quality improvement metrics and measures to improve care processes, outcomes, and the patient experience
Sheet1
| Hospital Name | Measure Name | Measure ID | Measure Start Date | Measure End Date | National Benchmark | Score | Footnote |
| ABC Health | Surgical Site Infection from colon surgery (SSI: Colon) | HAI_3_SIR | 1/1/15 | 9/30/15 | 2.548 | 3.555 | |
| ABC Health | Central line-associated blood stream infections (CLABSI) | HAI_1_SIR | 1/1/15 | 9/30/15 | 3.422 | 3.422 | |
| ABC Health | Catheter-Associated Urinary Tract Infections (CAUTI) | HAI_2_SIR | 1/1/15 | 9/30/15 | 1.231 | 0.466 | |
| ABC Health | Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) | HAI_4_SIR | 1/1/15 | 9/30/15 | 2.703 | 4.608 | |
| ABC Health | Surgical Site Infection from colon surgery (SSI: Colon) | HAI_3_SIR | 1/1/14 | 12/31/14 | 2.319 | 2.487 | |
| ABC Health | Central line-associated blood stream infections (CLABSI) | HAI_1_SIR | 1/1/14 | 12/31/14 | 3.063 | 3.063 | |
| ABC Health | Catheter-Associated Urinary Tract Infections (CAUTI) | HAI_2_SIR | 1/1/14 | 12/31/14 | 1.089 | 0.567 | |
| ABC Health | Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) | HAI_4_SIR | 1/1/14 | 12/31/14 | 2.512 | 3.697 | |
| ABC Health | Surgical Site Infection from colon surgery (SSI: Colon) | HAI_3_SIR | 3/1/13 | 11/30/13 | 2.219 | 2.219 | |
| ABC Health | Central line-associated blood stream infections (CLABSI) | HAI_1_SIR | 3/1/13 | 11/30/13 | 3.128 | 3.062 | |
| ABC Health | Catheter-Associated Urinary Tract Infections (CAUTI) | HAI_2_SIR | 3/1/13 | 11/30/13 | Not available | Not available | 4 – Data suppressed by CMS for one or more quarters. |
| ABC Health | Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) | HAI_4_SIR | 3/1/13 | 11/30/13 | 2.094 | 2.094 | |
| ABC Health | Surgical Site Infection from colon surgery (SSI: Colon) | HAI_3_SIR | 1/1/12 | 12/31/12 | 2.136 | 0.174 | |
| ABC Health | Central line-associated blood stream infections (CLABSI) | HAI_1_SIR | 1/1/12 | 12/31/12 | 2.089 | 2.203 | |
| ABC Health | Catheter-Associated Urinary Tract Infections (CAUTI) | HAI_2_SIR | 1/1/12 | 12/31/12 | 0.827 | 0.827 | |
| ABC Health | Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) | HAI_4_SIR | 1/1/12 | 12/31/12 | 2.132 | 2.132 | |
| ABC Health | Surgical Site Infection from colon surgery (SSI: Colon) | HAI_3_SIR | 1/1/11 | 12/31/11 | 2.234 | 0.273 | |
| ABC Health | Central line-associated blood stream infections (CLABSI) | HAI_1_SIR | 1/1/11 | 12/31/11 | 2.234 | 2.845 | |
| ABC Health | Catheter-Associated Urinary Tract Infections (CAUTI) | HAI_2_SIR | 1/1/11 | 12/31/11 | 1.879 | 2.814 | |
| ABC Health | Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) | HAI_4_SIR | 1/1/11 | 12/31/11 | 2.133 | 1.148 |