NRS-451V Executive Summary Solved
Grand Canyon University NRS-451V Executive Summary Solved-Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NRS-451V Executive Summary Solved assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRS-451V Executive Summary Solved
Whether one passes or fails an academic assignment such as the Grand Canyon University NRS-451V Executive Summary Solved depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRS-451V Executive Summary Solved
The introduction for the Grand Canyon University NRS-451V Executive Summary Solved is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NRS-451V Executive Summary Solved
After the introduction, move into the main part of the NRS-451V Executive Summary Solved assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRS-451V Executive Summary Solved
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRS-451V Executive Summary Solved
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Sample Answer for NRS-451V Executive Summary Solved
Patient discharge processes can become points of increased dissatisfaction for both patients and healthcare systems as well as their providers. Efficiency in the discharge process demonstrates the level of quality services focused on better outcomes and enhanced patient satisfaction levels. In their study, Moo-Young et al. (2019) assert that hospitals and their management can optimize discharge process to minimize inpatient inefficiencies and waste. The purpose of this executive summary is to propose a quality improvement initiative to enhance the patient discharge process to the board for approval of funding.
Purpose of the Quality Improvement Initiative
The proposed quality improvement initiative focuses on enhancing efficiency in the discharge process by eliminating delays. The goal of this proposal is to develop an efficient discharge system or protocol that would assist nurses to monitor and alert them when patients meet the set discharge criteria. In their study, Vaish et al. (2019) assert that discharge planning is an essential aspect of patient care delivery. However, it can be challenging if nurses and facility’s administrators do not have efficient tools and approaches to make the process seamless and better. A lot of disparity in coordination of discharge or transfer process for patients in the health facility leads to wastage of resources and time. The project will help avert such issues as it focuses on meeting patient needs and ensuring that the healthcare staff are prepared for a seamless and efficient system that leads to better processes across the hospital.
Target Population
The target population or audience for this initiative include the management team, board and middle level managers as well as the unit supervisor. Without the input of the supervisor, it would be difficult to attain support from the management for the board to approve and allocate funds for the project. All the mentioned stakeholders are essential since they all play a part in the implementation and overall success of the project.
Benefits of the Quality Improvement Initiative
The proposed initiative will have significant benefits to the organization and the nursing staff in the facility. The project will offer seamless flow of information, enhance overall efficiency in the discharge process and guarantee more consistency in communication among providers and patients irrespective of the time of the discharge (Abuzied et al., 2021). Through the initiative, nurses will monitor and analyze discharge needs and goals of a patient. The criteria used in the project of discharge of patients will help in ensuring that nurses can only discharge patients who are ready to go as opposed to the need to create room for bed capacity. Through the initiative, the facility will save costs associated with readmissions and possible nosocomial infections associated with extended hospital stays.
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The initiative will guarantee high-quality care that focuses on patients and lead to increased satisf
action. The improved satisfaction levels among patients will lead to referrals and more clients, allowing the entity to make profits (Emes et al., 2018). Optimization of discharge will enhance overall quality of care and ensure that the facility meets its goals of providing better services for effective patient outcomes. By leveraging on data and information collected during the discharge process, the initiative will ensure that providers have a coordinated care approach and work to improve patient management.
Inter-professional Collaboration Required to Implement the Quality Improvement Initiative
Inter-professional collaboration is a critical part of the quality improvement process since the implementation of the discharge process entails several departments or units. Therefore, for the initiative to provide quality outcomes and expected efficiency in the organization, all stakeholders will be involved; right from the nurse manager to pharmacists and those in records department and the nurse unit. The inter-professional collaboration will also entail having an informatics nurse for data management and ensuring that all aspects of care are recorded with minimal or no inaccuracies (Vaish et al., 2019). As such, the implementation will require a multidisciplinary team comprising of different professionals within and even outside the organization for effective outcomes of the project.
Cost or Budget Justification
Extended stay in the hospital due to a host of issues increases the organization’s cost of operations because of the need to maintain the facility. Additionally, it disrupts patient flow in the organization leading to reduced profits. Again, lengthened stays make patients susceptible to nosocomial infections that result into increased cost burden and poor patient outcomes (Vaish et al., 2019). Therefore, this quality initiative will be cost-effective as it aims at mitigating all these situations. The hospital spends close to $1,550 daily on inpatient services each night. The project aims at enhancing discharge rate by close to 38% meaning that it can save close to $3 million each fiscal year. The cost of implementing this project is minimal as it entails development of a system that will require the organization to spend $100,000 for its installation and another $50,000 for training of all relevant staff. The implication is that its benefits will outweigh the cost of implementation.
Evaluation of the Program
The program’s evaluation will be based on the time taken to discharge patients from the facility on daily basis. The evaluation will also be based on the number of patients discharged each month to assess if there is an improvement in the process for effective service delivery. Graphical representation of would be important in analyzing the impact made by the initiative. Therefore, evaluating admissions and discharge rates will form the foundation of the initiative’s success.
Conclusion
The essence of this initiative is to develop an efficient discharge system that would assist nurses monitor and alert when patients are ready for discharge and have effective management plans. The initiative will address patient needs and discharge goals to ensure that no readmissions occur. The criteria will ensure that only patients who are ready are discharged efficiently without any further delays. The project is cost effective and will be evaluated on a daily basis to ascertain its significance in reducing delays in the discharge process and any undesirable events to enhance overall patient outcomes and satisfaction.
References
Abuzied, Y., Maymani, H., AlMatouq, B., & AlDosary, O. (2021). Reducing the Length of Stay
by Enhancing the Patient Discharge Process: Using Quality Improvement Tools to Optimize Hospital Efficiency. Global Journal on Quality and Safety in Healthcare, 4(1), 44-49. https://doi.org/10.36401/JQSH-20-27
Emes, M., Smith, S., Ward, S. & Smith, A. (2018). Improving the patient discharge process:
implementing actions derived from a soft systems methodology study. Health Systems, 8(2):117-133. doi: 10.1080/20476965.2018.1524405
Moo-Young, J. A., Sylvester, F. A., Dancel, R. D., Galin, S., Troxler, H., & Bradford, K. K.
(2019). Impact of a Quality Improvement Initiative to Optimize the Discharge Process of Pediatric Gastroenterology Patients at an Academic Children’s Hospital. Pediatric quality & safety, 4(5). doi: 10.1097/pq9.0000000000000213
Vaish, S., Power, G., Fagan, C., Fitzgerald, E., & Ryan, S. (2019). P209 A pilot quality
improvement (QI) initiative to improve the discharge planning process for patients with complex care needs at temple street children’s hospital (TSCUH), Dublin. BMJ Journals, 104(Suppl. 3). http://dx.doi.org/10.1136/archdischild-2019-epa.564
Sample Answer 2 for NRS-451V Executive Summary Solved
There are many quality improvement initiatives in healthcare. Some of the most common ones include Six Sigma, Lean, and Total Quality Management (TQM). Six Sigma is a data-driven methodology that aims to improve the quality of products and services. It uses a set of tools and techniques to measure defects and identify ways to reduce them. Lean is a process improvement approach that aims to eliminate waste and increase efficiency. It focuses on eliminating steps or activities that do not add value to a product or service. TQM is a management philosophy that promotes the pursuit of excellence in all areas of business operations. It emphasizes continuous improvement, customer satisfaction, and teamwork. The purpose of this assignment is to analyze a quality improvement initiative involving improved electronic medical record documentation, including target population, benefits, cost, and the basis upon which the quality improvement initiative will be evaluated.
Main Problem
In my healthcare settings, incomplete or illegible documentation continues to be a major problem that requires improvement. One potential solution is improved electronic medical record documentation. Incomplete physician notes are the leading cause of malpractice claims, and account for almost half of all paid malpractice claims. In my healthcare organization, incomplete or illegible documentation lead to miscommunication and errors. For example, if a doctor’s notes are incomplete or illegible, another doctor may not be able to understand them and could end up prescribing the wrong medication or performing the wrong procedure.
Solution to the Problem
Improved electronic medical record documentation is one way to help mitigate the problems caused by incomplete or illegible documentation. With accurate and complete patient information, clinicians can deliver consistent healthcare services to patients. Electronic health records (EHRs) can help improve the accuracy and completeness of patient information. EHRs can also help reduce the amount of time clinicians spend on documentation, which can free up time to provide more patient care. Improved electronic medical record documentation is a quality improvement initiative that will ensure proper and accurate information.
Purpose of the Quality Improvement Initiative
The purpose of the quality improvement initiative is to improve electronic medical record documentation by reducing the number of incomplete or illegible documentation. The goal of this initiative is to improve patient care by ensuring that all information pertinent to the patient’s care is documented in the electronic medical record (Fazio et al., 2020). Incomplete or illegible documentation can lead to errors in treatment, which can potentially have adverse impacts on patients. By improving electronic medical record documentation, we can ensure that all information pertinent to a patient’s care is available when it is needed most (Gandrup et al., 2020). This will help us provide the highest level of care possible for our patients.
Target Population or Audience
The target population for a quality improvement initiative involving improved electronic medical record documentation would be healthcare professionals who are responsible for providing patient care. This would include physicians, nurses, and other clinical staff. The goal of the initiative would be to improve the accuracy and completeness of medical records documentation (Fitzgerald et al., 2021). This would ultimately improve patient care by ensuring that all relevant information is available to healthcare professionals when making decisions about treatment plans. It would also help to ensure that patients receive appropriate care based on the most current information available.
Benefits of the Quality Improvement Initiative
The benefits of the quality improvement initiative involving improved electronic medical record documentation include: A reduction in medical errors and adverse drug events, improved patient care and safety, efficient and accurate communication between providers, time savings for clinicians, and reduced costs for healthcare providers. Improved EMR can help to ensure that all members of the healthcare team have accurate and up-to-date information about a patient’s medical history, medications, and allergies. This can help to reduce the risk of medical errors, which can potentially lead to serious injury or even death. EMR also makes it easier for healthcare professionals to track patients’ progress over time and to identify any potential problems early on. This can lead to more timely and effective treatment plans, which in turn results in improved patient care.
The Cost or Budget Justification
A recent study published in the Journal of the American Medical Association found that improved electronic medical record documentation, or “EHR use”, can result in significant cost savings for healthcare organizations. The study was conducted over a two-year period and found that EHR use led to a 11.8% reduction in hospital admissions and a 13.6% reduction in total hospital costs. The study also found that increased EHR use was associated with reductions in both length of stay and costs for patients who were admitted to the hospital.
The overall cost of this project will be $36,000,000 on the lower side and $49,500,000 on the higher side. The breakdown is as follows:
| Cost Category for EMR Improvement | Start-up Costs per bed-low ($) | Start-up Costs per bed-high ($) |
| External IT Consulting | 26,000 | 30,000 |
| Hardware | 14,000 | 25,000 |
| Clinical Software Licenses | 15,000 | 20,000 |
| External Training Services | 10,000 | 12,000 |
| Other Software Licenses | 5,000 | 7,000 |
| Internal IT Support | 2,000 | 5,000 |
| Total | 72,000 | 99,000 |
| Total Bed Capacity | 500 | |
| Grand Total | 36,000,000 | 49,500,000 |
Interprofessional Collaboration Required For the Quality Improvement Initiative
Interprofessional collaboration is key for the success of any quality improvement initiative. In order to improve electronic medical record documentation, all healthcare professionals involved in the patient’s care will work together to create and implement a plan that meets the specific needs of each individual patient (Tajirian et al., 2020). There is also the need for collaboration with external organizations and partners to ensure the implementation of all the processes required. By involving all members of the healthcare team, one can ensure that everyone has a shared understanding of the patient’s care plan and are able to properly document all interventions and treatments in the EMR (Sutton et al., 2020). This improved documentation will help to improve patient care overall and ensure that all members of the healthcare team are working towards the same goal.
The Basis for Evaluating a Quality Improvement Initiative
There are a few key factors that will be considered when evaluating the quality of an electronic medical record documentation improvement initiative. First, it will be important to look at how the new system is being used by clinicians – is it making their lives easier or more difficult? If it is making their lives more difficult, then the initiative is not likely to be successful in the long run. Second, the implementation team will look at how well the system is capturing patient data (Sutton et al., 2020) and to determine whether sufficient information in the records are available to support clinical decision-making. Other question that will be asked when evaluating the quality improvement initiative will be: Are all of the necessary fields being completed, and are they populated with accurate data? If not, then there will be problems downstream when the data is analyzed for quality improvement purposes.
Conclusion
A quality improvement initiative involving improved electronic medical record documentation can have a number of benefits, including: improved patient care, increased efficiency and accuracy in data entry, reduced administrative costs, and enhanced overall quality of care. Anytime a change is introduced to a given process, it is important to evaluate the impact of those changes. In this case, you’re talking about introducing an electronic medical record documentation system. There are a number of factors to consider when evaluating the impact of such a change.
References
Fazio, S., Doroy, A., Da Marto, N., Taylor, S., Anderson, N., Young, H. M., & Adams, J. Y. (2020). Quantifying mobility in the ICU: Comparison of electronic health record documentation and accelerometer-based sensors to clinician-annotated video. Critical care explorations, 2(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7188433/
Fitzgerald, M. P., Kaufman, M. C., Massey, S. L., Fridinger, S., Prelack, M., Ellis, C., … & Hagopian, S. (2021). Assessing seizure burden in pediatric epilepsy using an electronic medical record–based tool through a common data element approach. Epilepsia, 62(7), 1617-1628. https://doi.org/10.1111/epi.16934
Gandrup, J., Li, J., Izadi, Z., Gianfrancesco, M., Ellingsen, T., Yazdany, J., & Schmajuk, G. (2020). Three quality improvement initiatives and performance of rheumatoid arthritis disease activity measures in electronic health records: results from an interrupted time series study. Arthritis care & research, 72(2), 283-291. https://doi.org/10.1002/acr.23848
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ digital medicine, 3(1), 1-10. https://www.nature.com/articles/s41746-020-0221-y
Tajirian, T., Stergiopoulos, V., Strudwick, G., Sequeira, L., Sanches, M., Kemp, J., … & Jankowicz, D. (2020). The influence of electronic health record use on physician burnout: cross-sectional survey. Journal of medical Internet research, 22(7), e19274. https://www.jmir.org/2020/7/e19274/PDF
Sample Answer 3 for NRS-451V Executive Summary Solved
Enhancing the level of care and quality in healthcare settings needs management to implement quality improvement initiatives or programs. These initiatives ensure that patients and providers attain safety measures that lead to increased satisfaction and quality of care. Nurse staffing levels and having optimal nurse-to-patient ratios are essential for healthcare organizations that are keen on providing quality care. Low nurse staffing levels reduce the quality of care outcomes by increasing susceptibility to hospital acquired infections (HAIs) and other adverse conditions leading to high cost of care for patients (Aiken et al., 2018). The purpose of this executive summary is to propose a quality improvement initiative on attainment of optimal nurse staffing ratios in hospitals to enhance the quality of care provision.
Purpose of the Quality Improvement
Nurses play a critical role in the health care system as they offer care to patients in different units and areas, including emergency rooms and intensive care units. They also administer medications and other daily essentials in different health settings. However, nurses continue to face increased workload and limited support from the administrators and management as these facilities focus on lowering expenses while boosting profits (Shin et al., 2018). The increased demand for care, and aging population that is leading to more chronic diseases’ prevalence and retiring of nurses as well as emergency of infectious diseases like the Coronavirus disease of 2019 (COVID-19) pandemic means that more workload for nurses and healthcare providers.
Heavy nurse workloads, evidenced by working for longer hours or on long shifts, is significantly associated with decreased patient satisfaction. In health care facilities with huge proportions of nurses working shifts of about 13 hours or longer, many patients assert that they are less likely to recommend such setting to friends and families compared to patients in hospitals where nurses work less hours on their shifts (Aiken et al., 2018). Therefore, the purpose of this quality improvement initiative is propose interventions that can improve nurse-to-patient ratios in health facility with the aim of enhancing quality of care and patient safety. The proposal also focuses on improving overall patient satisfaction and outcomes.
Target Population
The target population in this scenario are nurses, nurse managers and leaders and the hospital administration. Nurses remain the most affected due to low nurse-to-patient ratios or staffing levels. Nurses in these settings have to work for long hours under stressful and strenuous conditions that lowers their performance and make them susceptible to adverse events like medication errors and while patients become vulnerable to hospital acquired infections (HAIs) among other outcomes that increase the overall cost of care (Gandolfi & Stone, 2018). The management, nurse managers and leaders need to develop interventions that lead to optimal nurse staffing levels and adhering to regulatory mandates at state levels that require certain units.
Maintenance of safe staffing levels implores nurse administrators to review the issue of nurse-to-patient ratios. The American Nurses Association (ANA) supports the deployment of flexible staffing models that change based on the facility’s or unit’s needs. The administrators and nurse leaders as well as managers should consider the severity of patient illness, nurse experience, the layout of unit and available resources that include ancillary staff and leveraging on technology as well as the number of shift admissions, discharge and transfers (Shin et al., 2018). Nurse managers and leaders should regularly review existing staffing schedules and identify areas of concern while encouraging staff to have their input about the ratios.
Benefits of the Project
Ensuring that there are appropriate or optimal nurse staffing levels leads to the attainment of better care and allows organizations and providers to meet the increasing care demands. States like California and Massachusetts have enacted laws to ensure that there are stratified nurse-to-patient ratios specific to the unit and the level of patient stability. As such, more states are now mandating hospitals to form or establish staffing committees that deal with nurse-to-patient ratio planning. Having such committees and enhancing communication through staffing input as well as leveraging technologies like telehealth and telemedicine will provide increased benefits to the facility while reducing adverse events associated with low nurse staffing ratios or levels (Phillips et al., 2018). The implication is that maintenance of appropriate nurse staffing levels does not just lead to better care, but in most cases, is legal requirement, especially at state level. Federal regulations on Medicare mandates health facilities to have sufficient numbers of licensed registered nurses, licensed practical nurses and other personnel to offer nursing care to all patient as requires. The implication is that a facility may not participate in Centers for Medicare and Medicaid Services (CMS) innovative models like value-based care if they do not have sufficient nursing staff to guarantee quality care for patients.
Cost-Benefit Justification
Low nurse staffing levels cost hospitals negative outcomes that include reduced care quality for patients due to adverse events like medication errors that lead to long stays in hospitals and a decline in patient satisfaction rates. The cost of implementing appropriate nursing levels through the suggested interventions is minima compared to the benefits that the facility will attain. For proposed initiative of leveraging technology, using ANA changing schedule model and other bundled interventions will provide a host of benefits to the organization that include improved quality of care, a reduction in overall expenses, and increased patient satisfaction (Paulsen, 2018). The cost associated with the implementation of the bundled intervention may only require investing in additional staff, technology devices and applications, and increased engagement, communication, and collaboration among all stakeholders.
Project Evaluation
The proposed quality improvement initiative aims at enhancing patient safety, staff satisfaction and performance, and care quality. An inter-professional multidisciplinary teal comprising of stakeholders that include nurse leaders and managers, nurses and informatics team will be responsible for the implementation of the program in different units of the hospital (Phillips et al., 2018). Effective evaluation will ascertain if the interventions are appropriate and will lead to attainment of optimal or appropriate nurse staffing levels. The evaluation of progress on the initiative will entail collecting data before the implementation and after the implementation of the interventions to ascertain any changes in shift lengths and the number of hours each nurse works (Haegdorens et al., 2018). Adoption of the changing schedule and other interventions will be evaluated to ascertain their efficacy in attainment of adequate nurses.
Conclusion
Low nurse-to-patient ratios are associated with poor health outcomes and reduce the level of patient satisfaction. The proposed initiative shows that having optimal nursing levels is a critical component of attaining quality outcomes and reducing adverse events as well as attaining regulatory requirements to participate in federal and state health programs like value-based model in Medicare and Medicaid. Through the implementation of this proposal, health care organizations will attain more benefits as compared to the cost involved. The evaluation of this program will demonstrate that it leads to better care and motivated nursing staff that can perform and be productive.
References
Aiken, L. H., Cerón, C., Simonetti, M., Lake, E. T., Galiano, A., Garbarini, A., … & Smith, H. L.
(2018). Hospital nurse staffing and patient outcomes. Revista Médica Clínica Las Condes, 29(3), 322-327. https://doi.org/10.1016/j.rmclc.2018.04.011
Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles, and servant leadership. Journal
of Management Research, 18(4), 261-269.
Haegdorens, F., Van Bogaert, P., De Meester, K., & Monsieurs, K. G. (2019). The impact of
nurse staffing levels and nurse’s education on patient mortality in medical and surgical wards: an observational multi-center study. BMC health services research, 19(1), 1-9. DOI: https://doi.org/10.1186/s12913-019-4688-7
Phillips, J., Malliaris, A. P. & Bakerjian, D. (2021 April 21). Nursing and Patient Safety. Agency
for Healthcare Research and Quality. https://psnet.ahrq.gov/primer/nursing-and-patient-safety
Paulsen, R. A. (2018). Taking nurse staffing research to the unit level. Nursing management,
49(7), 42. DOI: 10.1097/01.NUMA.0000538915. 53159.b5
Shin, S., Park, J. H., & Bae, S. H. (2018). Nurse staffing and nurse outcomes: A systematic
review and meta-analysis. Nursing outlook, 66(3), 273-282.
DOI: 10.1016/j.outlook.2017.12.002.