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Week 2: Measurement
One of the keystone concepts in modern quality improvement science is that of measurement. An often heard management adage is “If you can’t measure it, you can’t manage it.” Measurement can come in many different forms, including statistics, charts, and patient satisfaction surveys. This week we begin to explore measurement in health care quality improvement, and we will be introduced to various tools used for measurement.
Learning Objectives
Students will:
Analyze an example of quality that was measured, assessed, and improved
Apply simple data collection techniques to a measurement problem
Design a data collection mechanism for an aspect of quality
Interpret a control chart
Synthesize the purpose, methods, and findings from the evidence-based literature that relate to a practice problem
Photo Credit: [Anthia Cumming]/[E+]/Getty Images
Learning Resources
Required Readings
Spath, P. (2013). Introduction to healthcare quality management (2nd ed.). Chicago, IL: Health Administration Press.
Chapter 3, “Measuring Performance” (pp. 32–72)
Chapter 4, “Evaluating Performance” (pp. 73–110)
Yoder-Wise, P. S. (2015). Leading and managing in nursing (6th ed.). St. Louis, MO: Mosby.
Chapter 20, “Managing Quality and Risk” (pp. 361–381)
Chapter 21, “Translating Research Into Practice” (pp. 383–404)
Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51. Retrieved from http://www(dot)med(dot)unc(dot)edu/cce/files/education-training/The%20run%20chart%20a%20simple%20analytical%20tool.pdf
Discussion: Applying Measurement Tools
One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the eight components of HEDIS comprehensive diabetes care; then consider the following scenario.
You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.
By Day 3
Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all 8 components of HEDIS comprehensive diabetes care.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).
Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)
By Day 7
Read two or more of your colleagues’ postings from the Discussion question.
Respond to two or more of your colleagues’ postings with a critique of their data mechanisms. Explain whether the data mechanism is practical, how long it might take, any alternatives you might suggest, and/or any electronic data collection possibilities that might apply.
Post a Discussion entry on three different days of the week. See the Discussion Rubric found in the Course Information area.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 2 Discussion Rubric
Post by Day 3 and Respond by Day 7
To participate in this Discussion:
Week 2 Discussion
CONTENT:
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Instructions: Create an interactive activity( game) on globalization. Just write out instructions for the activity in bullet point form. Make the activity simple and short(5 -7 mins). Materials should be accessible in a normal classroom. The activity should demonstrate what is globalization and its benefits. The activity should enable 10-12 people to play.
2 pages / approx 550 words | Coursework | English (US) 🇺🇸 | MLA | Social Sciences | Undergraduate |
Instructions: You are to create a thoughtful and reflective essay that includes a minimum of four paragraphs (a paragraph must contain a minimum of three sentences, even though APA states two sentences) that addresses the expectations as listed below. This reflective essay may be written in first person because this is your personal reflection. The reflection must be based on the signature assignment, which was two Problem Based Learning (PBL) clinical patient cases. This assignment is graded on how well you address the expectations of the reflection, please make sure you address each of the expectations as listed below!
Expectations of reflection:
1. Introductory paragraph that describes:
-the signature assignment of the Problem Based Learning clinical case study.
-How does what you learned through completing this signature assignment connect to the learning outcomes in this course? (you must write about how they connect to at least 2 of the 3 course CLOs)
CLOS
Assess the various techniques of periodontal therapy.
Analyze a problem based case to meet the comprehensive needs of a patient.
Justify the need for surgical periodontal treatment referrals.
Completing these two pbls helped me understand the topics of implants and orthodontics. We were given two patients and from the case study our prpofessor gave us a particular topic that we had to address and become professional in.
– Describe the gains over the term you have made in achieving the CLOs.
The gains I have made is that I am better to understand the involvement of perio and how it affects orthodontics and implants. With orthodontics I learned that it cannot be placed if it the patient has osseous crater, furcation’s, and three-wall defects. With implants I learned that there are so many times and each one is used for specific reasons.
2.A paragraph (or more) that includes:
What challenges did you encounter in completing this assignment?
-The challenges I encountered was findings new research in the recent 2 year about my topic. Most of the researches were from years ago.
How did you solve these challenges?
-I solved these challenges by getting extra help from our school librarian.
What were the successes you had in completing this assignment?
The success was that I was easly about to find information nabout my topic and it was pretty easy to go into detail about them.
3. A paragraph (or more) that discusses your learning throughout this term:
Describe the learning process throughout the course, what it felt like as you
progressed and mastered certain skills (developing key facts, hypothesis,
learning needs and applying these to effective poster board presentations).
Through out this term it was difficult retaning all the information of periodontology. There is a lot of key facts that need to be memories in order to figure out what status the patient is. In order to be able to see if a patient is periodontally involved you need to go and check many things.
What skills have you obtained from the PBL process and how will you apply
those skills to private practice?
-The skill I have obtained is that now I can easily research a topic and learn about it in detail. It can help me in private practice because I know now what periodontally involved patients need or how to diagnose if they are periodontally involved.
Discuss the skills you are still developing related to the PBL process and your
plans to continue your learning to ensure you remain knowledgeable and competent in the future.
-These skills that I have obtained will help me when I graduate and become a RDH. I can take this to private practice where I will need to explain all these information to the dentist when with a patient.
4.A paragraph (or more) that discusses a connection between what you studied in this course and what you learned in previous courses.
-What I have learned in this course plays the most important role in my clinic class. I. need to know these information when seeing a patient in order to successful create a correct dental hygiene care plan.
Specifically describe how what you learned in other classes enhance what you learned in this class.
-Last term in the periodontology class I was in it helped me learn the basis information for this applied periodontology.
Reflect on what you thought about the CLO’s at the beginning of the class and how you think about them now.
Please look at the clos I provided above and make something up.
What has changed in your assumptions and understanding?
Please write something 2 pages / approx 550 words | English (US) 🇺🇸 | Essay | Health, Medicine, & Nursing | Undergraduate |
Instructions: OUTLINE FOR PAPER
What is the name of the artist who created the artwork?
2. What kind of an artwork is it?
3. What medium does it appear to be made from?
4. What is the name of the artwork?
5. When was this artwork created?
6. Where was this artwork created?
7. Name some other major events or developments in history that occurred during the same time
this artwork was created.
8. List all the literal objects you see in the composition (trees, people, animals, shapes, mountains, etc.).
9. Consider the significant art elements that are present in this artwork and describe them:
10. Discuss how the artist manipulated the art elements to create the following principles:
a. Balance
b. scale
c. Unity
d. Variety
e. Emphasis
f. Rhythm
2
g. Movement
Interpretation
Interpretation
11. What do you think the artist was trying to say though this art piece?
12. Why do you think the artist created this artwork?
13. Describe any additional meanings you think the artists might have intended.
14. What feelings do you have when looking at this artwork?
15. Do you think there are things in the artwork that represent other things – symbols? Colors?
Objects? What?
Evaluation
Make sure to justify your opinions.
16. Do you like this artwork? Why?
17. Do you think this artwork is “good” or “bad”? Why?
3
18. Do think this is an important work? To whom do you think it would be important? Why?
19. Would display this artwork in your home? Should it be in a museum? Why?
20. Is there something about this work of art that you think should have been done differently?
What and Why? 2 pages / approx 550 words | APA | Article Critique | Communications & Media | Undergraduate |
Instructions: According to Stelson, Hille, Eseonu, & Doolen (2017), “continuous improvement (CI) is a lean process improvement principle. In Lean, the goal is to maximize client benefit by reducing elements detrimental to service aims” (para. 1). There are several factors that affect continuous improvement in healthcare. Discuss what elements that drive continuous improvement projects success in healthcare. 2 pages / approx 550 words | APA | English (US) 🇺🇸 | Essay | Health, Medicine, & Nursing | Undergraduate |
Instructions: Gertrude Bell – Research Paper Topic
turabian format
More info is given in attachment
Bibliography Typeface 12 point fontj Spacing Single within each entry, double between entriesIndentation Hanging first lineTitle Bold, CenteredOrder Alphabetical by author’s last name – if 2 or more by one author use the title (ignore articles like a or the) and replace author’s name (after the first entry) with a long dash.| Bible Is not included in the bibliography. 1 page / approx 275 words | Annotated Bibliography | English (US) 🇺🇸 | History | Other | Undergraduate |
Instructions: Expectations of Privacy and the Cellphone 1 page / approx 275 words | APA | Case Study | Communications & Media | English (US) 🇺🇸 | Undergraduate |
Instructions: Review Case Study #1Preview the document and answer the questions at the end of your selected case. I attached the info . 2 pages / approx 550 words | APA | Education | English (US) 🇺🇸 | Essay | Undergraduate |
Instructions: Choose two objects in the current chapters in your textbook that are thematically related (landscapes, portraits, religious subjects, historical monuments, etc.).
Write an essay of at least 450 words using 12 point font and double-spaced text) comparing the formal treatment and iconography of each work. Be sure to identify each object by indicating the artist, title, and date of production. Your essay should address how similarities and differences contribute to your understanding of each work’s meaning or artistic significance. You should analyze these points: stylistic choices (e.g., abstract, naturalistic, idealistic, realistic), function or symbolism of the pieces (What were they used for? Do they communicate a message? Are they sacred or secular works of art), cultural context (e.g., how might the way of life at the time and place the pieces were created affected their function and style? Do historical events relate to the image or story depicted?). In addition, I expect you to refer to the course readings, including the primary readings I uploaded to BlackBoard, in the essays. You must cite at least one source that is not our text book.
Use Chicago-Turabian style notation for any sources that you need to document as references in footnotes. Double-space your text and list your name and the date in the header on the first page. In almost all cases, you should italicize the title of a work of art. Consult the Chicago-Turabian sample essay I provided you for more information concerning formatting. Include at least two illustrations.
Submit your text in DOC, DOCX or PDF format. Due Friday night, 11:59 p.m.
Use two objects which I uploaded two different self-portrait to compare. THANK YOU!
I expect you to refer to the course readings, including the primary readings I uploaded to BlackBoard, in the essays. You must cite at least one source that is not our text book.” The source is that I uploaded two PDF files which is class 03 and class 04. If you want it, you can use it. 2 pages / approx 550 words | Chicago | English (US) 🇺🇸 | Essay | History | Undergraduate |
Instructions: Annotated Bibliography Sample/Help
https://owl(dot)purdue(dot)edu/owl/general_writing/common_writing_assignments/annotated_bibliographies/annotated_bibliography_samples.html 2 pages / approx 550 words | Annotated Bibliography | APA | Literature & Language | Undergraduate |
Instructions: Test question that needs to be answered:
The production of ATP does not end with the Citric acid cycle. Explain the process of oxidative phosphorylation taking place along the electron transport chain. this is also referred to as the chemiosmosis theory.
WordsCharactersReading time 1 page / approx 275 words | English (US) 🇺🇸 | Health, Medicine, & Nursing | MLA | Other (not listed) | Undergraduate |
Instructions: The constitutional rights guaranteed in the Bill of Rights are most highly protected during the trial stage of a criminal proceeding. This is when the adversarial process, which characterizes the U.S. criminal justice process, is at its peak. Use the Strayer Online Library (https://research(dot)strayer(dot)edu) to research, identify, and discuss a criminal case from within the last three years. Analyze and evaluate the steps which brought the individual to trial beginning with the arrest phase of the process.
Write a 4- to 6-page paper in which you:
Summarize the events leading up to the arrest and identify and discuss the four elements of the arrest related to this case.
Identify the four requirements for search and seizure with a warrant and describe how the search and seizure process was carried out for this case.
Explain the various aspects of the plain view doctrine and describe how this is relevant to this case.
Compare and contrast the various means of identifying suspects and describe the process used in this case.
Summarize the basic constitutional rights of the accused during trial.
Use at least five quality references. Note: Wikipedia and other similar websites do not qualify as academic resources. 4 pages / approx 1100 words | APA | Law | Research Paper | Undergraduate |
Instructions: Review the Common Core State Standards for Mathematics located at: http://www(dot)cde(dot)ca(dot)gov/be/st/ss/index.asp (Links to an external site.).
Respond to the following prompts in the Common Core discussion by Sunday.
Annotate the common core math standards that pertain to the grade you teach ( 6-8) or your case study student.
Which standards are difficult for your student(s)? How would you tackle these problematic standards?
Do you feel there are too many standards? Not enough? What can we do about it? Which ones would you cut out or add and why?
Is it better for students to be exposed to all the standards, even if it means sacrificing mastery? Which is better, breadth or depth? Why?
Note. The above questions are to guide you if you need prompts to think about, they are not mandatory. If you have other ideas to discuss that relate to your grade level mathematics standards, forge ahead. 1 page / approx 275 words | APA | Education | English (US) 🇺🇸 | Essay | Undergraduate |
Instructions: p3. Using Article 1. Linton.One Hundred Percent American (Links to an external site.)in
https://drive(dot)google(dot)com/file/d/0Bwqz50tAwubRX3k5UXBBMFJRWkU/edit
p4. Using Article 2. Napoli.Whose Speech Is Better
https://drive(dot)google(dot)com/file/d/0Bwqz50tAwubRV0tnbkg4akx2eXM/edit
2.5 Anthopology Basics. Ethnocentrism and Cultural Relativism .Perception and Misdirection. What color is it? (GRADED DISCUSSION 20 points)
Q 2
Use the following articles to make a statement about the ideas of ethnocentrism and cultural relaitivism.
PI. in 5 lines start by introducing a general opposition of beliefs in being right opposed to the belief that there are different experiences of the same information. Meaning, each person may percieve the world differently based on what they focus on as was shown in vlBasketball Awarness. London Transit and v2Apollo Robbins. Misdirection which could be cultural as well as biological.
P2. Review this image and decide what color(s) you see as your perception.) This is about five lines describing your confidence in your vision of what you see and survey of others in your household (not the dtails of what they and you have seen. Note that groups see different colors. You can see the variations of answers when you review the posts of others or have others in your household view the image :)
p3. Using the Article 1. Linton.Qne Hundred Percent American c* in 5 lines state the details which exactly highlight ethnocentrism and cultural relavitism.
p4. Using Article 2. Napoli.Whose Speech Is Better a in 5 lines state the details which exactly highlight ethnocentrism and cultural relavitism.
p5. In 5 lines state what anthropologist may already assume that others may have a very diferent worldview based on their experiences both cultural and physical. That is. we may have seen that byway of the experimental evidence of what people notice and what they seey are a combination of both biological and physical factors. 2 pages / approx 550 words | Biological & Biomedical Sciences | English (US) 🇺🇸 | Essay | Other | Undergraduate |
Instructions: The question is “how to extend the evaluation of America’s criminal justice system by understanding other systems”. Use two readings “is Google making us stupid?” by Nicholas Carr and “The New Jim Crow” by Michelle Alexander to write this essay. There should be 3 paragraph. The introduction and two body paragraphs. The introduction should begin with a general introductory statement or a “hook”(this should be 2-3 sentences). And then, cite the two source essays (authors and titles: “is Google making us stupid?” by Nicholas Carr and “The New Jim Crow” by Michelle Alexander) and gives each reading a brief summary. At the end of the introduction, write the thesis statement clearly. For two body paragraphs, each paragraph should begin with a topic sentence and include two quotes from both readings without any outside resources. To be more detail, please look at the “graphic expos essay” from the sources. No conclusion is needed. Thank you! 3 pages / approx 825 words | APA | Essay | Social Sciences | Undergraduate |
Instructions: My personality type is ESFJ and the description of it
Read the description of your personality type carefully. Then, prepare a reflection paper of 800 words that outlines your reaction to the information about your MBI type.
ASSIGNMENT DIRECTION
1) Is the information you received through this assessment consistent with your self perception?
Why / Why not ?
2) Is it consistent with feedback you have received about yourself in the past?
Yes/No Explain
I usually receive feedback from others about I’m warm and care about others. and you can write about my sympathy and willingness to help others.
3) Describe at least two specific situations you have experienced that would support the learning you received from this instrument.
4) What unique contribution do you think you will be able to make to your team based on the information you have received through this assessment. 3 pages / approx 825 words | APA | Article | English (US) 🇺🇸 | Master’s | Psychology |
Instructions: Case Scenario: The patient is a 72-year-old widowed Native American woman named Rose Flowers. Mrs. Flowers lives on a Michigan Indian Reservation. Her son, daughter-in-law, daughter and their children all live outside of Michigan.
Her income is $15,000 per year and her healthcare coverage is traditional Medicare. She does not have access to a car. Mrs. Flowers is diabetic and routinely receives care at the Reservation health clinic. For hospital care she must travel off the Reservation.
On January 15, 2020, she slipped on an icy sidewalk and broke her left hip. A surgical repair was necessary and was performed at Munson Medical Center for surgery and a 7-day inpatient day. After Mrs. Flowers’ inpatient stay, she was discharged to Munson Health and Rehabilitation for short-term rehabilitation stay of 14 days. Upon discharge from Munson, in home physical and occupational therapy was scheduled for a period of 2 months. Discharge plan for Mrs. Flowers anticipates that she will be able to be discharged from home care by June 1, 2020. After that date, Mrs. Flowers should be able to live independently and care for herself at home. 2 pages / approx 550 words | APA | Coursework | Health, Medicine, & Nursing | Undergraduate |
Instructions: Review the “Marketing Excellence: Disney” case study on p. 185 of your textbook. Why do you believe that Disney has been so successful? What do they do to connect with their customers? Why do you believe they been able to accomplish this for so many years?
Your journal entry must be at least 200 words in length. No references or citations are necessary. 1 page / approx 275 words | APA | Business & Marketing | Essay | Undergraduate |
Instructions: Your task this week is to choose your favorite course concept or term that we’ve covered thus far. You might choose a term that you find particularly interesting, something that you didn’t know before, something that’s a little unique…whatever you want. The only term you cannot choose for this exercise is “globalization.” Anything else is fair game.
Once you’ve chosen your term or concept, I’d like you to create a meme that reflects the concept. Include your meme in your post. Then, briefly (in one paragraph) explain your meme. Why did you pick this term, what are you trying to convey in your meme. Be original and creative. You won’t be able to see your classmates posts until you post so duplicate concepts will not be penalized. Your meme and explanation paragraph must be your original work.
Term: Free Trade 2 pages / approx 550 words | APA | Business & Marketing | English (US) 🇺🇸 | Essay | Undergraduate |
Instructions: Review Essays
In a review essay you identify the author’s thesis, method, sources and argument and also offer a critique of the argument. Does it convince you? If so why? If not why not? Pay close attention to how the scholar uses evidence to support an argument. Review essays help us build our own personal food studies library. 3 pages / approx 825 words | Book Review | English (US) 🇺🇸 | MLA | Social Sciences | Undergraduate |
Instructions: Mr. Ally went to the eye doctor and complained about dark areas in his vision. He had never noticed it before. There is no pain.
What is the diagnosis?
Explain the reason behind floaters and dark areas in the visual field.
How should the doctor treat Mr. Ally? 2 pages / approx 550 words | APA | Case Study | Health, Medicine, & Nursing | Undergraduate |
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