Category: NURS-FPX9901

NURS FPX 9901 Assessment 3 Doctoral Project Implementation Plan Name Capella university NURS-FPX 9901 Nursing Doctoral Project 1 Prof. Name Date

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI) Name Capella university NURS-FPX 9901 Nursing Doctoral Project 1 Prof. Name Date Quality/Performance Improvement (QI/PI) Quality/Performance Improvement (QI/PI) is a structured methodology used to enhance processes, services, and overall outcomes across various industries. In healthcare, QI/PI initiatives focus on identifying inefficiencies and implementing targeted improvements to optimize patient care. This project applies QI/PI strategies to educate healthcare staff on nutritional interventions and leverage telehealth technologies for the effective management of Chronic Obstructive Pulmonary Disease (COPD). By integrating these methodologies, the initiative aims to enhance care standards and improve health outcomes for COPD patients (Agency for Healthcare Research and Quality [AHRQ], 2020). Describing the Current Practice Needing Improvement The current practice involves managing inpatients diagnosed with COPD, a chronic respiratory condition that significantly impacts lung function and overall well-being (Konstantinidis et al., 2022). Despite advancements in treatment, gaps in care persist, including inadequate nutritional management, delays in follow-up care, and a lack of optimized COPD management strategies. A root cause analysis has revealed that insufficient staff training, prolonged emergency response times, and fragmented care coordination contribute to suboptimal patient outcomes. A comprehensive gap analysis underscores the urgent need to address these challenges. This project focuses on implementing nutritional interventions and telehealth solutions to bridge these gaps. The anticipated outcomes include improved pulmonary function and reduced hospital readmission rates among COPD patients (Press et al., 2019; Wong et al., 2022). A QI/PI Framework Supporting and Guiding the Project The Plan-Do-Study-Act (PDSA) model serves as the guiding framework for this QI/PI initiative. This iterative approach facilitates the systematic implementation, assessment, and refinement of interventions. Key project phases include conducting a literature review, designing protocols, implementing interventions, and evaluating outcomes. Stakeholder feedback will play a pivotal role in enhancing the initiative’s effectiveness through continuous formative assessments (Burkes et al., 2018; Ko et al., 2019). How QI/PI Data Will Be Collected and Analyzed Data collection and analysis are crucial to measuring the success of the implemented interventions. Multiple data sources will be utilized, including standardized assessment tools, patient surveys, and medical records. A comparative analysis will be conducted to evaluate the impact of nutritional strategies and telehealth interventions on COPD management. Continuous monitoring and stakeholder feedback will guide necessary adjustments, ensuring the interventions remain effective and aligned with the project’s objectives (Konstantinidis et al., 2022; Sculley et al., 2021). Evaluation of Changes in Quality or Performance The effectiveness of the interventions will be assessed using validated tools such as the Chronic Respiratory Questionnaire (CRQ) and spirometry tests. Quantitative metrics, including readmission rates and patient satisfaction scores, will be statistically analyzed to evaluate performance improvements. The evaluation framework will focus on effectiveness, efficiency, and stakeholder engagement, ensuring the project’s success in achieving its intended outcomes. Data comparisons against baseline figures will provide insights into the impact of the interventions on COPD management (Robertson et al., 2021). Conclusion This QI/PI initiative underscores the importance of continuous evaluation and improvement in COPD management. By integrating nutritional education and telehealth solutions, the project aims to enhance patient outcomes and reduce hospital readmissions. Findings from this initiative will inform future healthcare performance improvement efforts, ensuring the ongoing delivery of high-quality, patient-centered care. Table Format Representation Heading Description References Quality/Performance Improvement (QI/PI) A structured approach used to enhance healthcare processes and patient outcomes. The project focuses on integrating nutritional education and telehealth for COPD management. AHRQ (2020) Describing the Current Practice Needing Improvement The current practice for COPD inpatients lacks adequate nutritional management, timely follow-ups, and optimized care strategies. A gap analysis highlights these issues. Konstantinidis et al. (2022); Press et al. (2019); Wong et al. (2022) A QI/PI Framework Supporting and Guiding the Project The Plan-Do-Study-Act (PDSA) framework guides the project by structuring interventions and evaluations through iterative improvement cycles. Burkes et al. (2018); Ko et al. (2019) How QI/PI Data Will Be Collected and Analyzed Data sources include patient surveys, medical records, and standardized tools. Comparative analysis will assess the impact of interventions on COPD outcomes. Konstantinidis et al. (2022); Sculley et al. (2021) Evaluation of Changes in Quality or Performance The effectiveness of interventions will be measured using tools such as the Chronic Respiratory Questionnaire (CRQ) and spirometry tests, alongside statistical analysis. Robertson et al. (2021) Conclusion The project emphasizes the importance of continuous QI/PI initiatives in COPD management. Findings will guide future healthcare performance improvement strategies. – References Agency for Healthcare Research and Quality. (2020). Plan-Do-Study-Act (PDSA) directions and examples. https://www.ahrq.gov/health-literacy/improve/precautions/tool2b.html Agency for Healthcare Research and Quality. (2020, January). Section 4: Ways to approach the quality improvement process (page 1 of 2). https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html Burkes, R. M., Mkorombindo, T., Chaddha, U., Bhatt, A., El-Kersh, K., Cavallazzi, R., & Kubiak, N. (2018). Impact of quality improvement on care of Chronic Obstructive Pulmonary Disease patients in an internal medicine resident clinic. Healthcare, 6(3), 88. https://doi.org/10.3390/healthcare6030088 NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI) Konstantinidis, A., Kyriakopoulos, C., Ntritsos, G., Giannakeas, N., Gourgoulianis, K. I., Kostikas, K., & Gogali, A. (2022). The role of digital tools in the timely diagnosis and prevention of acute exacerbations of COPD: A comprehensive review of the literature. Diagnostics, 12(2). https://doi.org/10.3390/diagnostics12020269 Press, V. G., Au, D. H., Bourbeau, J., Dransfield, M. T., Gershon, A. S., Krishnan, J. A., Mularski, R. A., Sciurba, F. C., Sullivan, J., & Feemster, L. C. (2019). Reducing Chronic Obstructive Pulmonary Disease hospital readmissions. Annals of the American Thoracic Society, 16(2), 161–170. https://doi.org/10.1513/annalsats.201811-755ws Robertson, N. M., Siddharthan, T., Pollard, S. L., Alupo, P., Flores-Flores, O., Rykiel, N. A., Romani, E. D., Ascencio-Días, I., Kirenga, B., Checkley, W., Hurst, J. R., Quaderi, S., & GECo Investigators. (2021). Development and validity assessment of a Chronic Obstructive Pulmonary Disease Knowledge Questionnaire in low- and middle-income countries. Annals of the American Thoracic Society, 18(8), 1298–1305. https://doi.org/10.1513/AnnalsATS.202007-884OC NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI) Sculley, J. A., Musick, H., & Krishnan, J. A. (2021). Telehealth in Chronic Obstructive Pulmonary Disease: Before, during, and after the Coronavirus Disease 2019 pandemic. Current Opinion in Pulmonary Medicine, 28(2), 93–98. https://doi.org/10.1097/mcp.0000000000000851

NURS FPX 9901 Assessment 1 Name Capella university NURS-FPX 9901 Nursing Doctoral Project 1 Prof. Name Date