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Data Analysis and Quality Improvement Initiative Proposal

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An 8–10-page data analysis and quality improvement initiative proposal based on a health issue of professional interest to you. The audience for my analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative. A basic principle of quality measurement is: If you can't measure it, you can't improve it (Agency for Healthcare Research and Quality, 2013). Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and caregivers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all quality improvement initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret, and effectively communicate information revealed on dashboards that display critical care metrics.

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February 11, 2022
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2020/2021
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Data Analysis and Quality Improvement Initiative Proposal




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, 2
DATA ANALYSIS AND QUALITY IMPROVEMENT INITIATIVE PROPOSAL
I. Data Analysis and Quality Improvement Initiative Proposal

Hospital-based quality improvement (QI) is a critical sustainable method of enhancing

health systems. Improving healthcare quality results in positive outcomes among patients gives a

good image of a health care institution and a better working environment for the nurses who

directly interact with the patients. However, better care can only be successful through extensive

data analysis, effective QI initiatives, evidence-based practices, administration and staff's

collective efforts, and proper communication. Nurses play a critical part in quality improvement

programs since they are responsible for taking care of patients. A healthcare institution's

dashboard metrics help quality assurance personnel identify gaps in quality control and forms the

basis for quality improvement programs (Berman et al., 2014). This analysis aims at identifying

flaws from Vila Health's dashboard to ensure quality care to patients. The dashboard contains

hospice data on near misses and incidents that risked the patients' health for 2014 and 2015.

II. Vila Health Dashboard Analysis

The report's quality indicators are length of stay (LOS), inpatient unit admission (IPU),

pain and symptom relief. The data is essential since it shows whether patients in hospice care are

getting the attention they need and are receiving quality care. Since patients in hospice care

require special attention from nurses and physicians, their care level indicates the institution's

healthcare quality. How the hospital attends to vulnerable patients can help ascertain whether the

institution adheres to quality standards. Various professionals, including therapists, physicians,

nurses, and dieticians, all work collaboratively to ensure the patients' comfort and safety. Below

is a summary of data from hospice adverse event data between 2014 and 2015.

Table 1 Hospice Adverse Event Data

Hospice Unit Year LOS (Less than IPU Admission Pain Level Inadequate

, 3
DATA ANALYSIS AND QUALITY IMPROVEMENT INITIATIVE PROPOSAL
seven days) Symptom Relief
2014 50 47 13 13
2015 46 27 17 22



From the data, there is a decrease in patients' length of stay (LOS) from 50 to 46 and a

decrease in IPU admissions from 47 to 27 between 2014 and 2015. However, the number of

patients experiencing high pain levels for more than 24 hours increased from 13 to 17. On the

other hand, inadequate symptom relief increased from 13 to 22 between 2014 and 2015. As

much as a decrease in IPU admissions and length of stay signal an improvement, the increase in

the number of patients experiencing high pain levels for more than 10 hours and inadequate

symptom relief show that there are areas that need improvement. The stakeholders also point out

that patients in hospice care are usually referred when their health is in a critical state; therefore,

there is a need to improve the effectiveness of symptom and pain management and length of

stay. An efficient patient care protocol ensures that patients are satisfied with the care, their

chances of survival are increased, and their symptoms and comfort are improved.

Inefficient pain and symptom management in hospice care result in adverse outcomes in

patients' life quality. Evaluating and adjusting hospice pain management for better results

determines patients' quality of care. It is important to note that the decrease in length of stay for

patients has little significance in measuring the institution's enhancement in care level. In 2015,

there were fewer patients readmitted, which explains why there was a decrease in length of stay.

However, the Vila Health dashboard lacks critical data such as current practices on quality

improvement and caregivers' expertise in hospice care.
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