NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
Sample Answer for NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC Included After Question
You are a DNP-prepared nurse working at a hospital focused on improving patient satisfaction. After receiving care at your hospital, patients are provided a scorecard to survey their patient experience. The patient surveys range in questions from wait time to effectiveness of care, and these surveys provide your hospital with a scorecard indicating how the hospital is performing against these metrics. Upon reviewing the scorecards, you are able to highlight areas of improvement and areas of success, however, you find the responses are often difficult to analyze, as there are a wide range of responses, and there are many variables.
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The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?
For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.
To Prepare:
- Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.
- Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.
- Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.
- Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.
- Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.
- Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not?
By Day 3 of Week 5
Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.
By Day 6 of Week 5
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
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Submission and Grading Information
Grading Criteria
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Week 5 Discussion Rubric
Post by Day 3 of Week 5 and Respond by Day 6 of Week 5
To Participate in this Discussion:
Week 5 Discussion
A Sample Answer For the Assignment: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
Title: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
The healthcare organization I selected is the new Baptist Hospital in Brent Lane, Pensacola, FL. We have recently moved hospitals (September 2023), so the building is new. We use scorecards and dashboards in which patient experience and care are measured, tracked, and used to set improvement goals. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) then tells us whether we are at par with the other hospitals in the area. HCAHPS is the first national, standardized, publicly reported survey of patients’ perspectives on hospital care (Centers for Medicare and Medicaid Services, 2020).
Star ratings reflect HCAHPS surveys completed from July 2014 through June 2015, released on May 4, 2016. According to the President and CEO of Baptist Health Care, patient satisfaction is reviewed monthly to ensure we stay on top of our performance expectations. The ratings are based on 11 publicly reported measures in the HCAHPS survey (Baptist Health Care, 2023). The DNV recently surveyed our hospital, and we were told we passed with flying colors. On my floor, we measure performance according to our numbers of patient falls, hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections (CAUTI), and central line-associated bloodstream infections (CLABSI).
It is important to score low in these nurse-sensitive indicators as they can also impact hospital-wide scores. The impact of not meeting these metrics for my healthcare organization can be disastrous. “What we had previously assumed to be consistently high-quality care was now revealed to be frequently unreliable and inadequate in meeting patient needs” (Nash et al., 2019, p. 233) until the publication of To Err Is Human and Crossing the Quality Chasm. As the healthcare system is now moving away from fee for volume of services to fee for patient-centered care or services, the surveys are defined by what actually happens from the source of that information: the patients.
References:
Baptist Health Care (2023). Baptist Health Care Hospitals Score High, Gulf Breeze Hospital earns perfect five-star rating in latest CMS Hospital Compare Website Update. Baptist Health Care | eBaptistHealthCare.org. https://www.ebaptisthealthcare.org/news/baptist-health-care-hospitals-score-high-gulf-breeze-hospital-earns-perfect-five-star-rating-in-latest-cms-hospital-compare-website-update
Centers for Medicare and Medicaid Services. (2020). HCAHPS: Patients’ perspectives of care surveyLinks to an external site.Links to an external site.. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
A Sample Answer 2 For the Assignment: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
Title: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
Thank you for providing detailed information about the new Baptist Hospital in Brent Lane, Pensacola, FL, and its focus on patient experience and quality improvement. It’s evident that the organization is committed to ensuring high-quality care, as reflected in its use of scorecards, dashboards, and the HCAHPS survey.
Expanding on this, I’d like to emphasize the importance of integrating patient feedback into a comprehensive quality improvement strategy. While HCAHPS scores provide valuable insights into patients’ perspectives on hospital care, it’s essential to complement this data with a deeper understanding of specific areas that contribute to patient satisfaction.
One approach could involve conducting targeted surveys or focus groups to gather more detailed feedback on aspects that may not be fully captured by standardized surveys. For example, exploring patients’ experiences with the new hospital facility, the friendliness of staff, and the effectiveness of communication can provide granular insights that go beyond the HCAHPS metrics.
Additionally, considering the recent move to a new facility in September 2023, it would be beneficial to assess how this transition has impacted the patient experience. Questions related to the ease of navigation within the new building, the comfort of the environment, and the availability of amenities could be included in surveys to gauge patient satisfaction with the updated infrastructure.
Furthermore, aligning internal performance metrics, such as nurse-sensitive indicators, with patient satisfaction goals is crucial for achieving a holistic view of quality. As your organization already tracks metrics like patient falls, hospital-acquired pressure injuries, catheter-associated urinary tract infections, and central line-associated bloodstream infections, it’s essential to continuously analyze these data points alongside patient experience scores. Identifying correlations and addressing areas of concern can lead to targeted interventions and improvements in both patient outcomes and satisfaction.
The recognition from DNV for passing the survey is commendable, and it showcases a commitment to meeting high-quality standards. To build on this success, the organization could consider implementing a continuous improvement framework, involving regular performance reviews, staff training initiatives, and technology enhancements to address any identified areas for enhancement.
In summary, while the HCAHPS survey and other standardized measures provide a valuable overview of patient experience, supplementing this information with targeted feedback, analyzing the impact of recent changes, and integrating internal performance metrics will contribute to a more comprehensive and patient-centered approach to quality improvement at the new Baptist Hospital.
References
Amer, F., Hammoud, S., Khatatbeh, H., Lohner, S., Boncz, I., & Endrei, D. (2022). The deployment of balanced scorecard in health care organizations: is it beneficial? A systematic review. BMC health services research, 22(1), 1-14.
A Sample Answer 3 For the Assignment: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
Title: NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC
In my specific practice at the new Baptist Hospital in Brent Lane, Pensacola, FL, the interpretation of patient experience measures aligns with a focus on continuous improvement and patient-centered care within our recently established facility (Baptist Health Care, 2023). The introduction of scorecards and dashboards allows us to meticulously measure and track patient experience and care, providing valuable insights to set improvement goals (Baptist Health Care, 2023). Our commitment to transparency and accountability is demonstrated through our participation in HCAHPS, a national, standardized survey that publicly reports patients’ perspectives on hospital care (Baptist Health Care, 2023).
The star ratings derived from HCAHPS surveys serve as a tangible representation of our performance over the years, reflecting the period from July 2014 through June 2015. Regular reviews of patient satisfaction by our President and CEO ensure that we consistently meet and exceed performance expectations. The emphasis on 11 publicly reported measures in the HCAHPS survey reinforces our dedication to understanding and addressing every aspect of patient experience.
Moreover, our recent success in passing the DNV survey with flying colors affirms our commitment to high-quality care and safety standards. On my floor, we take a proactive approach to performance measurement, focusing on key nurse-sensitive indicators such as patient falls, hospital-acquired pressure injuries (HAPI), catheter-associated urinary tract infections (CAUTI), and central line-associated bloodstream infections (CLABSI). Recognizing the potential impact of these indicators on hospital-wide scores, we prioritize patient safety to maintain our reputation for excellence.
The significance of these nurse-sensitive indicators is underscored by their potential impact on overall hospital scores. Nash et al. (2019) aptly highlight the shift in healthcare toward patient-centered care, moving away from traditional fee-for-service models. As we embrace this transformation, the patient experience surveys become vital tools that capture the essence of our care delivery directly from the patients themselves.
In summary, at Baptist Hospital, the patient experience measures serve as not only benchmarks for our performance but also as catalysts for continuous improvement (Baptist Health Care, 2023). By focusing on nurse-sensitive indicators and aligning our practices with patient-centered care principles, we aim not only to meet but to exceed patient expectations, ensuring that our healthcare services are reliable, adequate, and responsive to the ever-evolving needs of our patients (Baptist Health Care, 2023).
References
Baptist Health Care (2023). Baptist Health Care Hospitals Score High, Gulf Breeze Hospital earns perfect five-star rating in latest CMS Hospital Compare Website Update. Baptist Health Care | eBaptistHealthCare.org. https://www.ebaptisthealthcare.org/news/baptist-health-care-hospitals-score-high-gulf-breeze-hospital-earns-perfect-five-star-rating-in-latest-cms-hospital-compare-website-update
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
Rubric Detail
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Content
Name: NURS_8302_Week5_Discussion_Rubric
| Excellent
90–100 |
Good
80–89 |
Fair
70–79 |
Poor
: 0–69 |
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| Main Posting:
Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
Points Range: 40 (40%) – 44 (44%)
Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources. |
Points Range: 35 (35%) – 39 (39%)
Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references. |
Points Range: 31 (31%) – 34 (34%)
Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references. |
Points Range: 0 (0%) – 30 (30%)
Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references. |
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| Main Posting:
Writing |
Points Range: 6 (6%) – 6 (6%)
Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
Points Range: 5 (5%) – 5 (5%)
Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. |
Points Range: 4 (4%) – 4 (4%)
Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
Points Range: 0 (0%) – 3 (3%)
Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
|
| Main Posting:
Timely and full participation |
Points Range: 9 (9%) – 10 (10%)
Meets requirements for timely, full, and active participation. Posts main Discussion by due date. |
Points Range: 8 (8%) – 8 (8%)
Meets requirements for full participation. Posts main Discussion by due date. |
Points Range: 7 (7%) – 7 (7%)
Posts main Discussion by due date. |
Points Range: 0 (0%) – 6 (6%)
Does not meet requirements for full participation. Does not post main Discussion by due date. |
|
| First Response:
Post to colleague’s main post that is reflective and justified with credible sources. |
Points Range: 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
Points Range: 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
Points Range: 7 (7%) – 7 (7%)
Response is on topic and may have some depth. |
Points Range: 0 (0%) – 6 (6%)
Response may not be on topic and lacks depth. |
|
| First Response: Writing |
Points Range: 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
Points Range: 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. |
Points Range: 4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
Points Range: 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. |
|
| First Response: Timely and full participation |
Points Range: 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation. Posts by due date. |
Points Range: 4 (4%) – 4 (4%)
Meets requirements for full participation. Posts by due date. |
Points Range: 3 (3%) – 3 (3%)
Posts by due date. |
Points Range: 0 (0%) – 2 (2%)
Does not meet requirements for full participation. Does not post by due date. |
|
| Second Response: Post to colleague’s main post that is reflective and justified with credible sources. |
Points Range: 9 (9%) – 9 (9%)
Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives. |
Points Range: 8 (8%) – 8 (8%)
Response has some depth and may exhibit critical thinking or application to practice setting. |
Points Range: 7 (7%) – 7 (7%)
Response is on topic and may have some depth. |
Points Range: 0 (0%) – 6 (6%)
Response may not be on topic and lacks depth. |
|
| Second Response: Writing |
Points Range: 6 (6%) – 6 (6%)
Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
Points Range: 5 (5%) – 5 (5%)
Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English. |
Points Range: 4 (4%) – 4 (4%)
Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited. |
Points Range: 0 (0%) – 3 (3%)
Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited. |
|
| Second Response: Timely and full participation |
Points Range: 5 (5%) – 5 (5%)
Meets requirements for timely, full, and active participation. Posts by due date. |
Points Range: 4 (4%) – 4 (4%)
Meets requirements for full participation. Posts by due date. |
Points Range: 3 (3%) – 3 (3%)
Posts by due date. |
Points Range: 0 (0%) – 2 (2%)
Does not meet requirements for full participation. Does not post by due date. |
|
| Total Points: 100 | |||||
Name: NURS_8302_Week5_Discussion_Rubric
NURS 8302 WEEK 5 Discussion Measurement Systems and Methods INSTRUCTIONS PLUS RUBRIC Grading Rubric Guidelines
| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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| Performance Category | 5 | 4 | 3 | 2 | 0 |
| Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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| Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
| Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
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| 0 points lost | -5 points lost | ||||
| Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
| Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |