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 systematic approach used across various industries to improve the quality, efficiency, and effectiveness of processes, products, or services by identifying areas needing improvement. In the context of this project, QI/PI is focused on educating staff about nutritional changes and utilizing telehealth interventions to facilitate the effective diagnosis and management of Chronic Obstructive Pulmonary Disease (COPD). By implementing QI/PI methodologies, the project aims to foster ongoing improvements and achieve higher standards of care for COPD patients (AHRQ, 2020).

Describing the Current Practice Needing Improvement

The current practice involves the management of in-patients diagnosed with COPD, a chronic lung disease that significantly impacts lung function and overall well-being (Konstantinidis et al., 2022). These patients often require specialized care to manage their symptoms, improve lung function, and reduce the risk of hospital readmissions. A root cause analysis has revealed several shortcomings in the current practices, such as insufficient knowledge on nutritional management, delays in follow-up care, and the need for optimized COPD management. Additionally, there is a lack of timely emergency services, which results in extended waiting periods for patients (Konstantinidis et al., 2022).

A gap analysis has highlighted the need to address these deficiencies, particularly in the care of COPD in-patients. The goal of this project is to explore and compare the effects of nutritional interventions and telehealth services to close these gaps. By implementing these strategies, the project aims to improve lung function and reduce hospital readmission rates for 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 is a structured QI/PI framework that can guide the project. This framework provides a methodical approach to identifying, implementing, and evaluating interventions. Key milestones will include conducting a literature review, designing the study, creating protocols, and implementing the proposed interventions. Incorporating stakeholder feedback through formative assessments will be essential for refining and improving the effectiveness of the interventions (Burkes et al., 2018; Ko et al., 2019).

How QI/PI Data Will Be Collected and Analyzed

Data collection and analysis are crucial for assessing the success of the interventions. Various data sources, including standardized tools, patient surveys, medical records, and other relevant information, will be used. Comparative analysis will focus on evaluating the impact of nutritional interventions and telehealth services on lung function and hospital readmission rates. Continuous monitoring and feedback from stakeholders will allow for ongoing assessment and adjustments to improve the interventions (Konstantinidis et al., 2022; Sculley et al., 2021).

Evaluation of Changes in Quality or Performance

To evaluate changes in quality and performance, tools such as the Chronic Respiratory Questionnaire (CRQ) and spirometry tests will be used to assess COPD-related health outcomes. Quantitative data, including readmission rates and patient satisfaction scores, will be analyzed using statistical methods. The evaluation will focus on effectiveness, efficiency, and stakeholder involvement, ensuring that the project aligns with its objectives. These metrics will be compared to baseline data to assess improvements (Robertson et al., 2021).

Conclusion

This project demonstrates the importance of applying QI/PI methodologies to enhance the care provided to COPD patients. Through continuous monitoring, evaluation, and improvement, the project aims to achieve sustainable improvements in care delivery. The findings will contribute valuable insights for future initiatives focused on performance improvement in healthcare settings.

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

Backhouse, A., & Ogunlayi, F. (2020). Quality improvement into practice. BMJ, 368(1). https://doi.org/10.1136/bmj.m865

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

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

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

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

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

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