Understanding Data Collection And Performance Improvement

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Evaluate healthcare quality measures and their use in diverse populations and settings.

Scenario
Oakridge Hospital is preparing for resignation of its Magnet Status, which represents diverse populations in primary, secondary and tertiary settings. As the clinical analyst for the hospital, it is your responsibility to ensure that all of the collected and submitted data meets criteria to maintain the covenant status. The Board of Directors asked The Chief Nursing Officer (CNO) to give an update on the hospital’s Magnet status and resignation efforts.

Student Success Criteria
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Instructions
You have been asked by the hospital’s Chief Nursing Officer to create a PowerPoint presentation (using speaker notes for each slide or voiceover narration) on Magnet designation, quality measures and patient outcomes to be presented to the Board of Directors. This presentation should include:

Background on Magnet Recognition Program®.
Summary of the Magnet status model components and diverse data elements that can be used in the hospital’s Quality Improvement initiatives that will be measured for redesignation.
Explain the use of hospital, state and national data comparison requirements in Magnet redesignation and quality improvement.
Three goals that align to Magnet status with an explanation of how these goals can positively impact the hospital’s patient outcomes.
A – 4 – Mastery

Clear and thorough background information on Magnet Recognition Program. Included comprehensive details on the model components and data elements that can be used in QI initiatives. Includes multiple supporting examples.

A – 4 – Mastery

Clear and thorough explanation of hospital, state and national data comparison requirements in Magnet redesignation. Included comprehensive explanation with multiple supporting examples for comparison of hospital, state, and national data comparisons quality improvement.

A – 4 – Mastery

Comprehensive list of more than three goals aligned to Magnet status. Included multiple supporting examples of how all of the goals can positively impact the hospital’s patient outcomes.

 

 

Sample Solution

Background on Magnet Recognition Program®

The Magnet Recognition Program® is a prestigious designation awarded to healthcare organizations that demonstrate excellence in nursing. The program was founded in 1994 by the American Nurses Credentialing Center (ANCC) and is based on the belief that strong nursing leadership is essential to providing high-quality patient care.

To be designated as a Magnet hospital, organizations must meet a rigorous set of standards that focus on nurse satisfaction, nurse empowerment, and patient outcomes. These standards are divided into four domains:

  • Leadership: The organization must have a strong nursing leadership team that is committed to creating a positive work environment for nurses.
  • Professional practice: The organization must provide nurses with the resources and support they need to practice at the highest level.
  • Patient care delivery: The organization must provide high-quality patient care that is patient-centered and evidence-based.
  • Outcomes: The organization must demonstrate positive patient outcomes, such as lower mortality rates and shorter lengths of stay.

Summary of the Magnet status model components and diverse data elements that can be used in the hospital’s Quality Improvement initiatives that will be measured for redesignation

The Magnet model components are the key areas that the ANCC evaluates when assessing an organization’s application for Magnet designation. These components include:

  • Transformational leadership: The organization must have a strong nursing leadership team that is committed to creating a positive work environment for nurses.
  • Structural empowerment: The organization must provide nurses with the resources and support they need to practice at the highest level.
  • Professional development: The organization must provide nurses with opportunities for professional development and advancement.
  • Quality improvement: The organization must have a culture of quality improvement that is focused on patient outcomes.

In addition to the Magnet model components, the ANCC also requires organizations to submit data on a number of diverse data elements. These data elements are used to assess the organization’s performance on a variety of quality measures, such as patient satisfaction, nurse satisfaction, and patient outcomes.

Some of the diverse data elements that can be used in the hospital’s Quality Improvement initiatives that will be measured for redesignation include:

  • Race and ethnicity: The organization must collect data on the race and ethnicity of its patients and staff.
  • Gender: The organization must collect data on the gender of its patients and staff.
  • Language: The organization must collect data on the languages spoken by its patients and staff.
  • Disability: The organization must collect data on the disabilities of its patients and staff.
  • Sexual orientation: The organization must collect data on the sexual orientation of its patients and staff.

Explain the use of hospital, state and national data comparison requirements in Magnet redesignation and quality improvement

The ANCC requires organizations to compare their performance on a number of quality measures to hospital, state, and national data. This comparison is used to assess the organization’s progress in improving its quality of care.

For example, the organization may compare its patient satisfaction scores to the state average or the national average. This comparison can help the organization to identify areas where it needs to improve its patient satisfaction.

The ANCC also requires organizations to compare their performance on a number of quality measures to their own historical data. This comparison can help the organization to track its progress in improving its quality of care over time.

For example, the organization may compare its patient satisfaction scores from last year to its patient satisfaction scores from this year. This comparison can help the organization to identify areas where it has made progress in improving its patient satisfaction.

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