NURS FPX 6212 Assessment 2 Executive Summary

Assessment 2 Executive Summary

Student Name

Capella University

NURS-FPX 6212 Health Care Quality and Safety Management

Prof. Name

Date

Executive Summary 

Healthcare-associated infections (HAIs), as identified earlier, are one of the adverse events occurring in healthcare organizations, resulting in poor outcomes in terms of quality of care and patient safety. The focus of this assessment is to provide a summary for the executives of the Vila Health organization, whereby HAIs have been identified and change strategies are proposed for improving the gap between current and desired outcomes. 

The Key Quality and Safety Outcomes Measures

Hospital-acquired infections (HAISs) refer to the illnesses that patients attain while they are admitted to any healthcare organization. These infections have several negative consequences such as increased length of stay, which comes along with financial burden for the patients as well as the organization. Additionally, escalated risks of morbidities and mortality are also observed in these patients (Stewart et al., 2021). These poor results advocate the need for measuring quality and safety outcomes related to HAIs in the organization, which are; the rate of infections, antibiotic resistance, rate of morbidities and mortality, patient safety indicators, and cost and resource utilization. 

NURS FPX 6212 Assessment 2 Executive Summary

  1. Measuring the rate of infections helps the organization to track the number of infections per patient-days and per-procedure. This outcome measure helps in promoting infection control practices within the organization based on specific data and evidence (Izadi et al., 2021). 
  2. HAIs are associated with the dissemination of antibiotic-resistant bacteria which are harmful for the patients. Monitoring the data related to antibiotic resistance in patients is important to identify the cases earlier and improve medication prescribing practices. 
  3. Mortality and morbidity rates are important outcome measures as they help in analyzing the impact of the HAIs in the organization, thus, assisting in improving practices to reduce the rate of complications. 
  4. Patient safety indicators like assessing infections associated with central lines, urinary catheters, ventilators, and surgical sites are imperative to track patients’ safety. These indicators help to incorporate interventions specific to the type of infection to mitigate the risks and improve quality (Tokareva & Romano, 2023). 
  5. Monitoring the utilization of resources in terms of HAIs will provide opportunities for the healthcare organization to initiate cost-effective interventions to reduce the financial burden as indicated by the poor consequence of the HAIs. 
The strengths of these outcome measures are that they provide objective data which can be tracked over time and profound comparisons can be done to analyze the trends. Moreover, the primary focus of these quantifiable measures is to prioritize patients’ safety and improve health outcomes. On the other hand, one of the limitations is underreporting of the adverse events which can lead to inaccuracy and unreliability of the data provided. 

Strategic Value of Outcome Measures for an Organization 

The measurement of aforementioned outcomes within the healthcare organization holds strategic value in terms of improving the quality of care and promoting a safety culture within the facility. It is necessary to measure these outcomes to provide value-based care where an improved environment is fostered and best practices are adopted to improve patient safety especially in terms of hospital-acquired infections (Pantaleon, 2019). These outcome measures help healthcare organizations to analyze the effectiveness of the care provided, and the efficiency of healthcare professionals, and identify patients’ experiences, which ultimately promote the culture of safety. Outcome measures such as infection rates, antibiotic resistance, and patient safety indicators impact patient care by promoting infection control and prevention measures.

NURS FPX 6212 Assessment 2 Executive Summary

They assist healthcare providers to bring significant improvements in their practices using evidence-based guidelines, simultaneously, helping to improve the quality of care (Hansen et al., 2018).  The targeted interventions developed based on these outcome measures can also improve the utilization of resources, shorten the length of hospital stays, and reduces the financial obligation on the patients as well as the organization. The actions taken in return for these outcome measures will cultivate a culture of quality improvement and patient safety within the organization by reducing the risk of HAIs. The existing outcome measures that have been used to evaluate the infection control practices for reducing HAIs can be utilized to monitor the trends and identify the specific areas of improvement so that research-based, valuable, and beneficial interventions can be brought within the organization to further improve value-based care. 

The Relationship Between Systemic Problems and Quality and Safety Outcomes 

Since healthcare-associated infections are common in healthcare facilities, it is essential to monitor these outcome measures to reduce the risks of infections and correlated complications. The outcome measures which are specifically related to the HAIs are monitoring infection rates, development of antibiotic-resistant infections, and assessing patient safety indicators. The monitoring of infection rates is related to the identification of prevalent HAIs within the hospital which will help in evaluating the effectiveness of current practices. Similarly, the development of antibiotic-resistant infections within hospital settings advocates the need to minimize the occurrence of HAIs. This outcome measure is related to the systemic problem and will help in improving medication practices by introducing antibiotic stewardship within the organization (Lakoh et al., 2020). Lastly, examining the patient safety indicators which are specific to the HAIs like assessment of central-line, urinary catheter, and surgical site infections provides information about areas of improvement. Reducing the rates of these indicators can show the effectiveness of the preventive measures and improves patients’ safety. Overall, these particular indicators are related to HAIs as they perform the roles of monitoring and evaluation tools whereby they can be used to improve infection control practices, reduce the prevalence of HAIs, improve the quality of care, and enhance patient safety.  

Outcome Measures and Strategic Initiatives 

The strategic plan of Vila Health organization in the light of healthcare-associated infections is focused on two aspects; improving healthcare practices and patient satisfaction levels. Vila Health emphasizes that healthcare workers should perform every action in the light of patients’ safety and must provide standardized quality of care. Moreover, it focuses on patient-centered care to ensure consumers satisfy with the healthcare they receive. Outcome measures that are elaborated in this paper relate to Vila Health’s approach whereby the identification of infection rates, antibiotic-resistant infections, mortality and morbidity rates, and patient safety indicators will assist the organizational stakeholders to take immediate actions if any improvement areas are identified. Additionally, the assessment of resource utilization will assist organizations to provide more patient-centric and need-based care whereby essential resources will allocate to important aspects of the care. These outcome measures are used as tools that will eventually create a culture in the organization where healthcare workers will be encouraged to provide quality healthcare remembering patient safety and satisfaction is the core goal (MacGillivray, 2020).

Leadership Role in the Implementation of Proposed Practice Changes 

Leadership plays a vital role in supporting healthcare teams to effectively implement the change strategies proposed for the organization. The change strategies to reduce HAIs as proposed in the previous assessment are; proper utilization of PPE, enhancing hand hygiene, improving environmental cleanliness, and training and education for healthcare workers. Some of the important leadership strategies are fostering a goal-oriented environment where leaders establish a clear vision for the change strategies and communicate openly with the team about the desired outcomes.

NURS FPX 6212 Assessment 2 Executive Summary

This open communication motivates healthcare workers to put in striving efforts for the successful implementation of the change interventions (Gochmann et al., 2022). Another important role that leaders play is encouraging inter-professional collaboration. Inter-professional collaboration is essential for the efficient implementation of change strategies. This collaboration will ensure that patients receive holistic care from experts of various disciplines and it will foster an environment for shared goals whereby every individual team member will work together to achieve the desired outcomes (Simons et al., 2022). These strategies will also enable the proposed change to be sustainable through constant encouragement of the changemakers, policy development, and continuous monitoring and evaluation of the progress. 

Conclusion 

In conclusion, outcome measures play a critical role in the identification of the areas of improvement in terms of quality and safety thus, enabling the healthcare organization to address the concerned areas. In terms of HAIs, infection rates, antibiotic resistance, and patient safety indicators play an essential role to reduce the rate of HAIs and improve patient safety. Leadership plays an important role in the successful implementation of these strategies by creating a vision and opening lines of communication. Moreover, leaders need to foster a collaborative environment for implementing change strategies and making the change sustainable. 
References 
Gochmann, V., Stam, D., & Shemla, M. (2022). The boundaries of vision communication—the effects of vision‐task goal‐alignment on leaders’ effectiveness. Journal of Applied Social Psychology, 52(5), 263–276. https://doi.org/10.1111/jasp.12855  Hansen, S., Schwab, F., Zingg, W., & Gastmeier, P. (2018). Process and outcome indicators for infection control and prevention in European acute care hospitals in 2011 to 2012 – results of the prohibit study. Eurosurveillance, 23(21). https://doi.org/10.2807/1560-7917.es.2018.23.21.1700513  Izadi, N., Etemad, K., Mehrabi, Y., Eshrati, B., & Hashemi Nazari, S. S. (2021). The standardization of hospital-acquired infection rates using prediction models in Iran: Observational study of national nosocomial infection registry data. JMIR Public Health and Surveillance, 7(12). https://doi.org/10.2196/33296  Lakoh, S., Li, L., Sevalie, S., Guo, X., Adekanmbi, O., Yang, G., Adebayo, O., Yi, L., Coker, J. M., Wang, S., Wang, T., Sun, W., Habib, A. G., & Klein, E. Y. (2020). Antibiotic resistance in patients with clinical features of healthcare-associated infections in an urban tertiary hospital in Sierra Leone: A cross-sectional study. Antimicrobial Resistance & Infection Control, 9(1). https://doi.org/10.1186/s13756-020-0701-5 
NURS FPX 6212 Assessment 2 Executive Summary
MacGillivray, T. E. (2020). Advancing the culture of patient safety and quality improvement. Methodist DeBakey Cardiovascular Journal, 16(3), 192. https://doi.org/10.14797/mdcj-16-3-192  Pantaleon, L. (2019). Why measuring outcomes is important in health care. Journal of Veterinary Internal Medicine, 33(2), 356–362. https://doi.org/10.1111/jvim.15458  Simons, M., Goossensen, A., & Nies, H. (2022). Interventions fostering interdisciplinary and inter-organizational collaboration in health and Social Care; an Integrative Literature Review. Journal of Interprofessional Education & Practice, 28, 100515. https://doi.org/10.1016/j.xjep.2022.100515  Stewart, S., Robertson, C., Pan, J., Kennedy, S., Haahr, L., Manoukian, S., Mason, H., Kavanagh, K., Graves, N., Dancer, S. J., Cook, B., & Reilly, J. (2021). Impact of healthcare-associated infection on length of stay. Journal of Hospital Infection, 114, 23–31. https://doi.org/10.1016/j.jhin.2021.02.026  Tokareva, I., & Romano, P. 2. (2023, April 26). Patient safety indicators. AHRQ Patient Safety Network. https://psnet.ahrq.gov/primer/patient-safety-indicators 

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