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Benchmark – Hospital Associated Infections Data

Benchmark – Hospital Associated Infections Data

Benchmark – Hospital Associated Infections Data

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    Week7.docx

    The purpose of this assignment is to examine health care data on hospital-associated infections and determine the best methods for presenting the data to stakeholders. Use the scenario below and the “Hospital Associated Infections Data” Excel spreadsheet to complete the assignment.

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    Scenario/ Assignment

    You have been tasked with displaying Centers for Medicare and Medicaid Services (CMS) hospital quality measures data for a 5-year period on four quality measures at your site. After examining the data, identify trends and determine the best way to present the actionable information to stakeholders.

    Create a 12-15-slide PowerPoint (not including title and reference slides) presenting the data to the stakeholders. Address the following in your PowerPoint:

    1. What conclusions can be drawn for each quality measure over the 5-year period?

     

    2. What trends do you see for each quality measure over the 5-year period?

     

     

    3. When comparing each quality measure, is the quality measure better than, worse than, or no different from the national benchmark over time?

     

    4. Based on your examination of the data, which of the quality measures should you prioritize and why?

     

     

    5. Develop a quality improvement metric and related measures to improve care processes, outcomes, and the patient experience relating to the identified area of opportunity.

     

    6. Explain how you would monitor the metric and use collected data for improvement.  

    Include a title slide, references slide, and comprehensive speaker notes.

    Use a minimum of two peer-reviewed, scholarly sources as evidence.

    While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    RUBRIC

     

    . Benchmark – Hospital-Associated Infections Data – Rubric

    Hospital-Associated Infections Data

    Conclusions

    9.6 points

    Trends

    9.6 points

    Quality Measure and National Benchmarks

    7.2 points

    Prioritization of Quality Measures

    7.2 points

    Quality Improvement Metric

    7.2 points

    Monitoring the Quality Improvement Metric (B)

    7.2 points

    Presentation of Content

    36 points

    Layout

    12 points

    Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

    12 points

    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    6 points

    Documentation of Sources

    6 points

    Total 120 points

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    NUR-630-RS-HospitalAssociatedInfectionsData1.xlsx

    Sheet1

    Hospital Name Measure Name Measure ID Measure Start Date Measure End Date National Benchmark Score Footnote
    ABC Health Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/15 9/30/15 2.548 3.555
    ABC Health Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/15 9/30/15 3.422 3.422
    ABC Health Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/15 9/30/15 1.231 0.466
    ABC Health Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/15 9/30/15 2.703 4.608
    ABC Health Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/14 12/31/14 2.319 2.487
    ABC Health Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/14 12/31/14 3.063 3.063
    ABC Health Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/14 12/31/14 1.089 0.567
    ABC Health Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/14 12/31/14 2.512 3.697
    ABC Health Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 3/1/13 11/30/13 2.219 2.219
    ABC Health Central line-associated blood stream infections (CLABSI) HAI_1_SIR 3/1/13 11/30/13 3.128 3.062
    ABC Health Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 3/1/13 11/30/13 Not available Not available 4 – Data suppressed by CMS for one or more quarters.
    ABC Health Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 3/1/13 11/30/13 2.094 2.094
    ABC Health Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/12 12/31/12 2.136 0.174
    ABC Health Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/12 12/31/12 2.089 2.203
    ABC Health Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/12 12/31/12 0.827 0.827
    ABC Health Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/12 12/31/12 2.132 2.132
    ABC Health Surgical Site Infection from colon surgery (SSI: Colon) HAI_3_SIR 1/1/11 12/31/11 2.234 0.273
    ABC Health Central line-associated blood stream infections (CLABSI) HAI_1_SIR 1/1/11 12/31/11 2.234 2.845
    ABC Health Catheter-Associated Urinary Tract Infections (CAUTI) HAI_2_SIR 1/1/11 12/31/11 1.879 2.814
    ABC Health Surgical Site Infection from abdominal hysterectomy (SSI: Hysterectomy) HAI_4_SIR 1/1/11 12/31/11 2.133 1.148