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Issue Analysis and Leadership Action Plan
Prepare an issue analysis of an incident that occurred in a health care organization and create a leadership action plan (8-10 pages) that will help to address the specific incident but will also help to drive safety and quality improvements throughout the organization.
In this third assessment in the course, you will assume the role of a newly promoted quality manager at your local hospital.\u00a0This role requires you to address deficiencies by improving organizational culture, providing leadership oversight, and cultivating staff relationships within the organization.\u00a0While you have many priorities in this new role, one of your first is to analyze a recent incident that occurred within the organization and to create a leadership action plan with recommended strategies and tactics to address not just the specific incident,\u00a0but to drive safety and quality improvement throughout the organization.
This assessment differs from the first assessment in that with this assessment, as the quality manager, your focus is broader. Rather than focusing only on identifying specific actions the organization can take to remedy a particular\u00a0incident that occurred, you are concentrating on what steps you will take as the quality manager to influence the organization\u2019s leadership to cultivate a fair and just culture. You will determine what departments, what leaders, and what personnel you will collaborate with to improve quality for the whole organization.\u00a0In this type of culture, safety is at the forefront of everyone\u2019s job and all associates welcome the opportunity to highlight issues\u2014without fear of reprisal\u2014so that they can be addressed at a systemic level throughout the organization.\u00a0
You may find it useful to review the short document CQI\u00a0Importance and Features [PDF]\u00a0as you gather your thoughts about the key elements you want to include in your assessment,\u00a0Issue Analysis and Leadership Action Plan.\u00a0 Demonstration of Proficiency
By\u00a0successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:\u00a0 Competency 4:\u00a0Apply leadership strategies to quality improvement in a health care organization. Apply the IHI Triple Aim to develop\u00a0a health care leadership strategy that focuses on optimizing health care system performance. Propose evidence-based leadership strategies that will help to establish a safety and quality culture. Propose evidence-based leadership and collaboration strategies to enlist the aid of key organizational leaders in establishing a safety and quality culture. Determine opportunities to enlist the governing board\u2019s aid in fostering a fair and just culture. \u00a0 Competency 5:\u00a0Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals. Write a clear, organized, persuasive, and generally error-free issue analysis and leadership action plan that\u00a0promotes a culture of safety and quality and is reflective of professional communication in the health care field.\u00a0 Provide citations and title and reference pages that conform to APA style and format. Preparation
To help prepare for successfully completing this assessment: Select one of the three incidents from the Vila Health: Patient Safety simulation you completed in Assessment 1.\u00a0These are common incidents you are likely to encounter in the health care field.\u00a0These included a patient HIPAA\/privacy violation.\u00a0 Consider these analysis questions once you have selected the incident on which you will focus: What information do you possess about the issue? (Note:\u00a0You may not be able to answer all of these questions; just include the information you know.) Consider: Who was involved? During what process (clinical, communication, operational) did the issue occur? When did the issue occur?\u00a0During a particular shift?\u00a0On a particular day?\u00a0During peak hours?\u00a0Under certain clinical circumstances?\u00a0 \u00a0\u00a0 Where did the issue occur? What additional data about the incident would you like to collect and analyze? Which best practices may not have been adhered to that may have contributed to the issue? (Note:\u00a0This information will prove useful to you as you complete your analysis and leadership action plan.) Instructions
Write an analysis and\u00a0leadership action plan for the issue you selected that will enable you to address the issue on an organization-wide basis.\u00a0Please make sure to include all of the following headings and answer all of the questions underneath each heading. Issue Summary How would you summarize the key elements of the incident that occurred? What is your goal in addressing the issue? Which two to three key items will be your focus?\u00a0For example, you may elect to focus on nursing staffing levels if being short staffed in nursing is contributing to compromises to patient safety. IHI Triple Aim What is the IHI Triple AIM?\u00a0 How does the IHI Triple Aim apply to this specific incident? What IHI Triple Aim elements will you incorporate into your organizational improvement strategy?\u00a0 Culture What is culture? Why is culture a critical organizational priority for safety and quality? Based on the knowledge you have about the selected issue, what do you know about the existing organizational culture? What are some of the evidence-based strategies you are considering you could employ to cultivate a culture of safety?\u00a0\u00a0 Collaboration Which key departments need to be directly involved with the corrective action process? What is your rationale for selecting these departments? For example, you may want to involve nursing because many of errors involve nurses and obtaining their buy-in is critical to achieving the organizational priority. Which specific senior leader, front line staff member, and clinical expert will you include in your action plan and hold accountable for implementation?\u00a0 What are the implications of not engaging with all departments toward making safety and quality top of mind?\u00a0 How might you involve other departments in addressing the specific issue and the cultural\u00a0issue?\u00a0 Leadership Which specific leaders within the organization could assist you in addressing this issue and in making patient safety and quality top of mind throughout the organization? Examples for you to consider include the chief nursing officer, the chief medical officer, the patient safety officer, et cetera. What role do you expect these leaders to play in addressing the specific issue and the issue of culture? What best practices would you employ to enlist their aid in the improvement effort?\u00a0 What role does the organization\u2019s governing board have in terms of quality and safety in the organization?\u00a0 How could you enlist the governing board\u2019s aid in your improvement initiative?\u00a0 What additional information could you provide them to increase their involvement in the organization\u2019s safety and quality improvement efforts? Leadership Action Plan What are three evidence-based actions you recommend that would help to solve the incident that arose? What are three evidence-based best practices you recommend to address the issue on an organizational level? Conclusion How will you summarize your analysis of the incident and your leadership action plan?
Remember that health care is an evidence-based field.\u00a0You will need to cite a minimum of two credible references to support your analysis and action planning process.
In addition, in the health care field, your analysis and action plan would not typically be written in APA format.\u00a0Do ensure that it is clear, persuasive, concise, organized, and without errors in grammar, punctuation, and spelling.\u00a0Do provide citations and title and reference pages in APA format.\u00a0Other leaders in your organization are going to want to know what sources you relied on to prepare your analysis and action plan. Additional Requirements Length:\u00a0Your incident analysis and leadership action plan will be 8\u201310 double-spaced pages, not including title and reference pages. Font:\u00a0Times New Roman, 12-point. APA Format:\u00a0Your citations and title and reference pages need to be in APA format.\u00a0The body of your analysis does not need to be written in APA format.\u00a0It does need to be well written, include the headings specified in the instructions, and address the questions listed under each heading. Scoring Guide:\u00a0Please review this assessment\u2019s scoring guide to ensure you understand how your faculty member will evaluate your work.<\/p>\n

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