BHA 4020 CU Interdisciplinary Presentation of Evidence-Based Recommendations PPT

BHA 4020 CU Interdisciplinary Presentation of Evidence-Based Recommendations PPT

Assessment 4 Instructions: Interdisciplinary Presentation of Evidence-Based Recommendations • Create and deliver a slide presentation (8-12 slides; 3-5 minutes maximum presentation) on the analysis of a selected health care problem that includes evidence-based recommendations. Your submission needs to include a narrated webcam recording, using your PowerPoint slides and speaker notes, which serve as a transcript.

Health care leaders scan for emerging and existing issues, prioritize problems, collect and analyze data, propose evidence-based solutions, and engage diverse teams in the process. Once a problem has been sufficiently analyzed, the health care leader must identify stakeholders who will participate in the final decision-making for a proposed evidence-based solution.

Most importantly, the health care leader must craft a message that is aligned with organizational mission and strategy, based upon sound analysis and data, and includes of a wide variety of diverse stakeholders. The message needs to be communicated in a clear, concise, culturally competent, balanced, and professional manner.

In this assessment, you will have an opportunity to practice a wide variety of executive-level skills by conducting a PowerPoint presentation on the selected health care problem. You will demonstrate a flow of logic and analysis by following a slide presentation outline template.

Assessment 3. Specifically you will cover the following in your presentation: State the problem. • Identify clearly the relevant factors or performance indicators and associated units of measurement. • Describe the application of an appropriate analysis tool to the problem. • Offer insights and evidencebased recommendations.

As you prepare for this webcam presentation, keep the imaginary audience in mind. It is comprised of a diverse senior leadership team at the selected organization. The team represents a variety of ages, cultures, and perspectives. You will communicate your presentation in a concise, professional, and culturally competent manner.

The goal is to persuade the senior leadership team to implement the evidence-based recommendations presented. Consider that two senior leadership team members may be evaluating you as a high potential candidate for a promotion. Good luck! It is time to construct your presentation.

Assessment scoring guide criteria

• Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: • • •

Competency 3: Construct evidence-based health care management recommendations in compliance with personal and professional values and legal, regulatory, and ethical considerations. • Analyze evidence-based recommendations with respect to organizational context. • Provide rationale for the execution of evidencebased recommendations.

Competency 5: Create comprehensive and useable data-driven action plans, based on industry benchmarks.

Data-driven action plan based

• Construct a data-driven action plan based upon industry benchmarks to solve the selected health care problem. Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.

• Create a succinct PowerPoint presentation on the selected problem and recommendations that is designed for interdepartmental senior leadership team viewing. Preparation Complete these tasks to successfully prepare for this presentation. Slides • • Review Guidelines for Effective PowerPoint Presentations [PPTX] for a refresher on how to create compelling, visually appealing slides that capture the audience’s attention.

Download and study the Final PowerPoint Template [PPTX] for a suggested structure for the slides. Using the slide template will help to keep your presentation within the maximum 3 to 5 minute presentation time frame. Practice Video Recording the Presentation After developing slides and preparing your speaker notes, practice delivering the presentation multiple times via screen and webcam recording before making the final webcam recording for submission.

Practicing your presentation multiple times will make the presentation more polished and professional. Likewise, multiple dry runs will also help you adhere to the 3 to 5 minute maximum presentation length. Before submitting the presentation, make sure the recording is audible, the slides are visible, and that you are included in a video capture.

Consult the Using Kaltura [PDF] for additional guidance on how to record the presentation. Instructions Use the Final PowerPoint [PPTX] template to create a 3–5 minute recorded PowerPoint presentation of 8–12 preformatted slides. The template provides the outline of what you need to cover in the presentation.

The goal of this assessment is to communicate essential elements of your analysis in a succinct manner. A 3- to 5-minute presentation may not seem long, but it is the reality in today’s health care workplace. Busy executives will not be able to spare more time than this. The presentation is for interdepartmental senior leadership team viewing.

Be sure to include visual summaries of your data, such as a pie chart or graph. The summarized data visual display should be in a readable format in a Word document or spreadsheet. It is important to include specific titles for the data summaries that identify the subject matter and measurement units.

Additional Requirements • • • • • Communication: Communicate in a manner that is scholarly, professional, respectful, and consistent with expectations for professional practice in health care administration. Original work, critical thinking, and scholarly writing are required in the assessment.

Writing must be free of errors that detract from the overall message. Media presentation: Recommended number of slides is 8–12 slides. Presentation length is not to exceed 5 minutes. Include with the submission: the slides, the recording, speaker notes as a transcript, and your visual data summary.

Resources: Cite a minimum of three current, scholarly, and/or authoritative sources. These resources need to be from the independent research you have conducted. They need to go beyond the suggested resources provided in the course. Also be sure to provide a separate slide for references at the end of your presentation.

APA: Follow APA formatting and style guidelines for citations and references. Consult this resource for an APA refresher: APA Style & Format. Font and font size: Appropriate size and weight for presentation, generally 24–28 points for headings and no smaller than 18 points for bullet-point text.

BHA4020 Capstone Final Report Title of Project Capella University Learner Name Date Instructor Name Title of Project • Statement of the Problem • Factors Examined & Units of Measurement • Summary of Literature: Key Findings • Data Presentation • Data Analysis • Evidence Based Recommendations • Conclusion • References Statement of the Problem Factors Examined & Units of Measurement Summary of Literature: Key Findings Data Presentation (#1) Data Presentation (#2) Data Analysis Evidence Based Recommendations Conclusion References 1 Health Care Problem Analysis Proposal Health Care Problem Analysis Proposal I.

Introduction A. The assessment of healthcare quality is essential for justifying the economic expenditure that the United States incurs to maintain its public health systems. 2 B. As a sector that utilizes an estimated 10 percent of the country’s gross domestic product (GDP), the healthcare industry should contribute to the reduction of the disease burden in the country.

C. However, the high rate of avoidable errors during care delivery is creating mistrust among patients and increasing the burden of disease among the patient population in the United States. D. Therefore, an analysis of the rate of occurrence of amenable mortality in the industry would is an effective measurement of the level of quality of healthcare services and improvement measures.

II. Problem Statement A. The selected problem for this analysis proposal is amenable mortality during hospitalization. B. Amenable mortality is the premature death that results from conditions that can be treated with either primary or secondary medical care (Vergara-Duarte et al., 2018). C. Amenable mortality is a major healthcare problem for patients, providers, and other stakeholders because its causes are preventable or avoidable, it has greater adverse impacts on the life expectancy rate of the country, and contributes to higher healthcare expenditure.

III. Assessment of Amenable Mortality in the U.S Health System A. In their study, Vergara-Duarte et al. (2018) examined the potential limitations of treatments for the causes of amenable deaths in U.S hospitals and their impact on the quality of healthcare services. 3 i. It is a study that categorized the different causes of amenable deaths that can make it a sentinel event and the level of efficacy of the different interventions against these causes.

ii. Hence, is useful for understanding the different aspects of the problem that makes a serious healthcare issue in the United States. B. The study by Allin and Grignon (2014) found that amenable mortality is a valid and reliable indicator for measuring the effectiveness of healthcare systems. i. It is the reason why leaders of healthcare organizations and policymakers are using the data on avoidable deaths to shape their patient safety policies.

ii. Therefore, these findings from this article illustrate how the stastical values of this parameter, especially their reliability and sensitivity, are useful tools for determining the effectiveness of the health system or otherwise. C. Kobewka, van Walraven, Taljaard, Ronksley, and Forster(2017) used their multisite retrospective cohort study to quantify the prevalence of preventable deaths using the latent class analysis of the physician reviews of 480 deaths at a teaching hospital.

i. The study outcome provides evidence of the effectiveness of the methods for classifying amenable deaths. 4 ii. Thus, the identification of the prevalence of the problem in the healthcare system is necessary for developing the right measures for dealing with the problem. D. Panagioti et al.(2018) performed a systematic review and meta-analysis to investigate the prevalence, causes, and severity of the adverse impacts of preventable harm to patients in different clinical settings.

i. The study found that there is an urgent need for targeted quality improvement initiatives by hospitals and policymakers to reduce the adverse impacts of preventable harm to patients in these clinical settings. ii. As a result, this article provided mitigation strategies for hospitals to address the high prevalence of amenable mortality in the United States.

E. Manaseki‐holland et al. (2019) studied the tools for ranking hospitals according to their rate of avoidable deaths to determine the complexity of the factors that contribute to the problem. i. In this regard, this research study examined the potential areas of improvement in these tools, especially those that are used for the direct measurement of the level of the problem in the healthcare system.

ii. Hence, the outcome of this study highlighted the need for standardized measurement tools for avoidable deaths to help healthcare organizations create effective quality and safety programs. 5 F. The quantitatve study by Rodwin et al. (2020) assessed the rate of inpatient deaths using the physician notes on the cause of death to illustrate the depth of the problem in the American health system.

i. The findings from this study identified medical errors and patients’ underlying disease conditions as the major causes of the problem. ii. Therefore, the outcome of this study is linked to the desire of hospitals and policymakers to use amenable mortality to determine the quality levels that can be used for reimbursements.

IV. Benchmark for Amenable Mortality A. The standardized mortality rate is the performance indicator that hospitals and regulators use to measure the quality of care services and identify the potential causes of the problem (Manaseki‐holland et al., 2019). B. In this regard, Healthcare Access and Quality (HAQ) Index and Physician Case Note are the instruments for collecting this information during quality reporting for reimbursement.

C. The HAQ index is a scoring scale of 0-100 that uses its lower scores as an indicator of the high prevalence rate of amenable mortality at the macro level (Barber et al., 2017). D. The Physician Case note is the institutional data collection tool for SMR and measures the number of deaths per 100,000 to determine the amenable mortality rate for the hospital.

V. Preliminary Action Plan Steps (steps for completing the project ) 6 A. First, a preliminary library search of current healthcare problems in the United States was performed to select amenable mortality as the one for this analysis paper. B. Second, a detailed library search for articles on the characteristics of the problem was performed to identify the current research into amenable mortality.

C. The next step was use to the outcome of the literature search and review to formulate the problem statement before moving to the review of the prevalence and causes of amenable mortality. D. Finally, analysis of the measure of the rates of amenable mortality and ACHE competency model for the problem was conducted to complete this capstone project.

VI. Review of ACHE Competency Model for Amenable Mortality ACHE Competency Selected How This Competency Relates to the Capstone Health Care Problem Analysis Proposal Communication and Relationship Management Communication skills The communication skills competency is chosen because this capstone project requires me to articulate the findings of my research on amenable mortality and use the information to improve the knowledge levels on the problem.

Leadership Organizational climate I chose organizational ACHE Domain 7 and culture Professionalism Knowledge of the Healthcare Environment climate and culture because I need an understanding of the behavioral and clinical practices that contribute to the problem to complete this capstone project successfully.

This competency is also required to manage the changes to the clinical practices that lead to avoidable deaths in the organization. Contributions to the Community and Profession I chose contributions to the community and profession because it would help to determine the ethical and professional standards that should guide the measures against amenable mortality and reduce the incidence of the problem in our healthcare system.

Healthcare Personnel I chose healthcare personnel because this capstone project requires me to develop quality improvement strategies that involve the inclusion of the hospital’s workforce to achieve its objectives. As a result, I need to develop the competency to engage the different stakeholders positively during the implementation of the project’s activities.

8 Business Skills and Knowledge Quality improvement I chose quality improvement because the primary goal of this capstone project is to use its findings to create and implement quality improvement initiatives that reduces the prevalence of the problem and its associated costs in the health system. References Allin, S.

, & Grignon, M. (2014). Examining the role of amenable mortality as an indicator of health system effectiveness. Healthcare Policy, 9(3), 12. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999566/ 9 Barber, R. M., Fullman, N., Sorensen, R. J., Bollyky, T., McKee, M., Nolte, E., … & Davey, G.

(2017). Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015. The lancet, 390(10091), 231-266. Retrieved from https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)30818-8.

pdf Kobewka, D. M., van Walraven, C., Taljaard, M., Ronksley, P., & Forster, A. J. (2017). The prevalence of potentially preventable deaths in an acute care hospital: A retrospective cohort. Medicine, 96(8). doi: 10.1097/MD.0000000000006162 Manaseki‐holland, S., Lilford, R. J., Te, A. P., Chen, Y.

F., Gupta, K. K., Chilton, P. J., & Hofer, T. P. (2019). Ranking hospitals based on preventable Hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. The Milbank Quarterly, 97(1), 228-284. https://doi.

org/10.1111/1468-0009.12375 Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., … & Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ, 366. doi: https://doi.

org/10.1136/bmj.l4185 Rodwin, B. A., Bilan, V. P., Merchant, N. B., Steffens, C. G., Grimshaw, A. A., Bastian, L. A., & Gunderson, C. G. (2020). Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. Journal of general internal medicine, 1-8. https://doi.org/10.

1007/s11606-019-05592-5 Vergara-Duarte, M., Borrell, C., Pérez, G., Martín-Sánchez, J. C., Clèries, R., Buxó, M., … & Benach, J. (2018). Sentinel amenable mortality: a new way to assess the quality of 10 healthcare by examining causes of premature death for which highly efficacious medical interventions are available.

BioMed research international, 2018. https://doi.org/10.

Health Care Problem Analysis Proposal Health Care Problem Analysis Proposal

The proposed project is designed to highlight the causes of amenable mortality of middle-aged patients during hospitalization in an acute care unit of the secondary clinic. It is a healthcare problem that is not only preventable but critical to improving the life expectancy of an important 2 demographic in the population.

Also, it is one with both regulatory and ethical implications for practitioners and patients in this medical setting. Therefore, this analysis proposal was submitted to the members of the Quality Improvement Committee of the selected clinical facility during a meeting to discuss its elements and obtain approval for its implementation.

The meeting was held in the conference room of the medical facility where I introduced myself as an undergraduate who was presenting a proposal on the measures for reducing amenable mortality in this healthcare organization. As soon as the introductions were complete, I described the project scope as one that covered research into the state of amenable mortality of middle-aged patients in acute care clinics, its causes, and impact on the system and society.

Also, I used the meeting to describe the approaches for executing some of the recommended solution and confirmed that its scope is limited to the acute care unit of the facilty where the potential is highest than others. Aside from discussing the scope of the meeting, I informed the committee of the importance of using the standard mortality rate as the performance indicator to collect data on the level of the problem at the facility due to its accurate representation of the number of avoidable deaths per 10,000 middle-aged patients within the first 30 days of hospitalization at the clinic.

It is a performance indicator that is supported by evidence from the outcomes of the studies by Manaseki‐holland et al. (2019) and Kobewka et al.(2017). Also, the meeting allowed me to explain the importance of using physician notes and health access quality index as additional performance indicators for collecting data on the level of the problem at the facility.

Finally, members of the committee reviewed the proposal and recommended modifications to some sections that I corrected and resubmitted for their approval during the second meeting where the Chief Nursing Officer who heads the group signed the approval. The following is the amended proposal by the group: 3 I.

Introduction A. The assessment of healthcare quality is essential for justifying the economic expenditure that the United States incurs to maintain its public health systems. B. As a sector that utilizes an estimated 10 percent of the country’s gross domestic product (GDP), the healthcare industry should contribute to the reduction of the disease burden in the country.

C. However, the high rate of avoidable errors during care delivery is creating mistrust among patients and increasing the burden of disease among the patient population in the United States. D. Therefore, an analysis of the rate of occurrence of amenable mortality in the critical care units of hospitals is an effective measurement of the level of quality of healthcare services and improvement measures to increase the rate of positive outcomes of middle-aged patients II.

Problem Statement A. The selected problem for this analysis proposal is amenable mortality during hospitalization of middle-aged patients in the acute care unit of a secondary clinical facility. B. Amenable mortality is the premature death that results from conditions that can be treated with either primary or secondary medical care (Vergara-Duarte et al.

, 2018). C. Amenable mortality is a major healthcare problem for middle-aged patients in the acute care unit and sources of concenrns for nurses, physicians, and other stakeholders because its causes are preventable or avoidable, it has greater 4 adverse impacts on the life expectancy rate of the country, and contributes to higher healthcare expenditure.

III. Assessment of Amenable Mortality in the U.S Health System A. In their study, Vergara-Duarte et al. (2018) examined the potential limitations of treatments for the causes of amenable deaths in U.S hospitals and their impact on the quality of healthcare services. i. It is a study that categorized the different causes of amenable deaths that can make it a sentinel event and the level of efficacy of the different interventions against these causes.

ii. Hence, is useful for understanding the different aspects of the problem that makes a serious healthcare issue in the United States. B. The study by Allin and Grignon (2014) found that amenable mortality is a valid and reliable indicator for measuring the effectiveness of healthcare systems. i. It is the reason why leaders of healthcare organizations and policymakers are using the data on avoidable deaths to shape their patient safety policies.

ii. Therefore, these findings from this article illustrate how the stastical values of this parameter, especially their reliability and sensitivity, are useful tools for determining the effectiveness of the health system or otherwise. C. Kobewka, van Walraven, Taljaard, Ronksley, and Forster(2017) used their multisite retrospective cohort study to quantify the prevalence of preventable 5 deaths using the latent class analysis of the physician reviews of 480 deaths at a teaching hospital.

i. The study outcome provides evidence of the effectiveness of the methods for classifying amenable deaths. ii. Thus, the identification of the prevalence of the problem in the healthcare system is necessary for developing the right measures for dealing with the problem. D. Panagioti et al.(2018) performed a systematic review and meta-analysis to investigate the prevalence, causes, and severity of the adverse impacts of preventable harm to patients in different clinical settings.

i. The study found that there is an urgent need for targeted quality improvement initiatives by hospitals and policymakers to reduce the adverse impacts of preventable harm to patients in these clinical settings. ii. As a result, this article provided mitigation strategies for hospitals to address the high prevalence of amenable mortality in the United States.

E. Manaseki‐holland et al. (2019) studied the tools for ranking hospitals according to their rate of avoidable deaths to determine the complexity of the factors that contribute to the problem. i. In this regard, this research study examined the potential areas of improvement in these tools, especially those that are used for the direct measurement of the level of the problem in the healthcare system.

6 ii. Hence, the outcome of this study highlighted the need for standardized measurement tools for avoidable deaths to help healthcare organizations create effective quality and safety programs. F. The quantitatve study by Rodwin et al. (2020) assessed the rate of inpatient deaths using the physician notes on the cause of death to illustrate the depth of the problem in the American health system.

i. The findings from this study identified medical errors and patients’ underlying disease conditions as the major causes of the problem. ii. Therefore, the outcome of this study is linked to the desire of hospitals and policymakers to use amenable mortality to determine the quality levels that can be used for reimbursements.

IV. Benchmark for Amenable Mortality A. The standardized mortality rate (SMR) is the performance indicator that hospitals and regulators use to measure the quality of care services and identify the potential causes of the problem (Manaseki‐holland et al., 2019). i. In this project, SMR is calculated as the total number of observed deaths divided by the number of expected deaths within the first 30 days of hospitalization.

ii. The expectated number of death is age- or gender-specific death rate per 10,000 for avoidable causes in the acute care setting within the first 30 days of hospitalization 7 B. In this regard, Healthcare Access and Quality (HAQ) Index and Physician Case Note are the instruments for collecting this information during quality reporting for reimbursement.

C. The HAQ index is a scoring scale of 0-100 that uses its lower scores as an indicator of the high prevalence rate of amenable mortality at the macro level (Barber et al., 2017). D. The Physician Case note is the institutional data collection tool for SMR and measures the number of deaths per 100,000 to determine the amenable mortality rate for the hospital.

V. Preliminary Action Plan Steps (steps for completing the project ) A. First, a preliminary library search of current healthcare problems in the United States was performed to select amenable mortality as the one for this analysis paper. B. Second, a detailed library search for articles on the characteristics of the problem was performed to identify the current research into amenable mortality.

C. The next step was use to the outcome of the literature search and review to formulate the problem statement before moving to the review of the prevalence and causes of amenable mortality. D. Finally, analysis of the measure of the rates of amenable mortality and ACHE competency model for the problem was conducted to complete this capstone project.

VI. Review of ACHE Competency Model for Amenable Mortality 8 ACHE Domain Communication and Relationship Management Leadership Professionalism ACHE Competency Selected How This Competency Relates to the Capstone Health Care Problem Analysis Proposal Communication skills The communication skills competency is chosen because this capstone project requires me to articulate the findings of my research on amenable mortality and use the information to improve the knowledge levels on the problem.

Organizational climate and culture I chose organizational climate and culture because I need an understanding of the behavioral and clinical practices that contribute to the problem to complete this capstone project successfully. This competency is also required to manage the changes to the clinical practices that lead to avoidable deaths in the organization.

Contributions to the Community and Profession I chose contributions to the community and profession because it would help to determine the ethical and professional standards that should guide the measures against amenable mortality and reduce the incidence of the problem in our healthcare system. 9 Knowledge of the Healthcare Environment Business Skills and Knowledge Healthcare Personnel I chose healthcare personnel because this capstone project requires me to develop quality improvement strategies that involve the inclusion of the hospital’s workforce to achieve its objectives.

As a result, I need to develop the competency to engage the different stakeholders positively during the implementation of the project’s activities. Quality improvement I chose quality improvement because the primary goal of this capstone project is to use its findings to create and implement quality improvement initiatives that reduces the prevalence of the problem and its associated costs in the health system.

The committee that reviewed the initial proposal on prevention of amenable mortality in middleaged patients in the acute care clinic of a secondary healthcare facility was led by the Chief Nursing Officer who has the authority to approval quality improvement programs at the facility. According to the feedback from this healthcare professional during the second meeting to confirm the changes, she noted tha the document would guide their training and policies on various nursing practices that can reduce the prevalence of the problem at their facility.

As a result she approved the proposal implementation and promised to provide the required resources for its expected impacts on the system. 10 Project Approval Submitted by ………………My Name……………… Name …My Signature…10/23/2021… Sign & Date Approved by: ……Susan Doe… Name ……SusanDoe /10/24/2021 Sign & Date Title…Chief Nursing Officer… References Allin, S.

, & Grignon, M. (2014). Examining the role of amenable mortality as an indicator of health system effectiveness. Healthcare Policy, 9(3), 12. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3999566/ Barber, R. M., Fullman, N., Sorensen, R. J., Bollyky, T., McKee, M., Nolte, E., … & Davey, G.

(2017). Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from 11 the Global Burden of Disease Study 2015. The lancet, 390(10091), 231-266. Retrieved from https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)30818-8.

pdf Kobewka, D. M., van Walraven, C., Taljaard, M., Ronksley, P., & Forster, A. J. (2017). The prevalence of potentially preventable deaths in an acute care hospital: A retrospective cohort. Medicine, 96(8). doi: 10.1097/MD.0000000000006162 Manaseki‐holland, S., Lilford, R. J., Te, A. P., Chen, Y.

F., Gupta, K. K., Chilton, P. J., & Hofer, T. P. (2019). Ranking hospitals based on preventable Hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. The Milbank Quarterly, 97(1), 228-284. https://doi.

org/10.1111/1468-0009.12375 Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., … & Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis. BMJ, 366. doi: https://doi.

org/10.1136/bmj.l4185 Rodwin, B. A., Bilan, V. P., Merchant, N. B., Steffens, C. G., Grimshaw, A. A., Bastian, L. A., & Gunderson, C. G. (2020). Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. Journal of general internal medicine, 1-8. https://doi.org/10.

1007/s11606-019-05592-5 Vergara-Duarte, M., Borrell, C., Pérez, G., Martín-Sánchez, J. C., Clèries, R., Buxó, M., … & Benach, J. (2018). Sentinel amenable mortality: a new way to assess the quality of healthcare by examining causes of premature death for which highly efficacious medical interventions are available.

BioMed research international, 2018. https://doi.org/10.1155/2018/5456074 1 Data Collection Analysis Data Collection Analysis The proposed project is a quality improvement initiative that is designed to address the factors that cause the high rate of amenable mortality among middle-aged patients in the acute care unit of this secondary hospital.

In this regard, it is crucial to collect data and analyze data on the cost and benefits of the implementation of these interventions against avoidable deaths in the 2 medical facility. Also, the evaluation of the information on the recommended protocols for preventing the future occurrence of this result of the different patient safety issues in the acute care unit is required to justify their potential to reduce the cost of addressing the problem.

Therefore, a cost-benefit analysis of the impact data of the implementation of the interventions against amenable mortality, evaluate the data with the benchmarks for this type of quality improvement initiatives, and recommend the most appropriate measures for dealing with the problem in the acute care unit of the facility.

Data Presentation The burden of dealing with amenable mortality in the acute care setting is higher than the cost of preventing the problem at the facility. In the case of this facility, the major causes of avoidable deaths among the target population for this study are pressure ulcers, medication errors, hospital-acquired infections, pneumonia, and venous thromboembolism.

According to the information, medication errors were found to cost the hospital 14% of its total lost bed day while hospital-acquired infections result in 16% of the financial loss due to the problem. Similarly, pressure ulcers and pneumonia result in an adverse financial impact of 20% loss each while venous thromboembolism creates the remaining 30% financial burden to the organization.

The data on the cost burden of the problem to the healthcare organization is presented below: Table 1: Percentage financial loss by causes of amenable mortality in the acute care unit. Causes of Amenable Mortality % financial loss to Hospital Medication errors 30 Venous thromboembolism 14 Hospital-acquired infections 16 Pressure ulcers 20 3 Pneumonia 30 25 20 15 10 5 0 20 Medication Errors Venous thromboembolism Hospital-acquired infections Pressure ulcer % Financial Loss to Hospital Pneumonia Figure 1: Bar chart of the financial loss by causes of amenable mortality in the acute care unit Furthermore data on the impacts of the implementation of the efforts to reduce the rate of amenable mortality in the acute care unit showed a reduction in the rate of occurrences of the factors that result in the problem.

A 21% reduction in the cost of managing medication errors was recorded while the fewer case of hospital-acquired infection resulted in a cost savings of 20%. Similarly, the improvement efforts resulted in cumulative savings of 16%, 17%, 26% from pneumonia, pressure ulcer, and venous thromboembolism respectively.

The data are presented in figure 2 below: 4 Medication Errors Pneumonia Venous thromboembolism Hospital-acquired infections Pressure Ulcer Figure 2: Pie Chart of Cummulative Cost Savings from Improvement Efforts. Quantitative and Qualitative Analysis of Data The comparative analysis of the improvement data from the implementation of the project showed that it is the right intervention for reducing the prevalence of amenable mortality at the healthcare facility.

According to Rhee et al. (2019), the quality improvement programs for preventable deaths in the acute care unit should reduce the level of the problem by at least 10% per data collection cycle to demonstrate effectiveness. In the case of this project, the analysis of the impact data showed that the level of improvement was high than the benchmarks for these problems.

Specifically, the 16% to 26% cumulative cost savings that were recorded from changes in the culture and care practices at the acute care unit is above the performance benchmarks for this problem. As a result, a reduction in the level of the problem in the acute care unit illustrated the need for healthcare organizations to implement programs that tackle amenable mortality in their facility.

Additionally, the observation from the conduct of this study is that leadership support for the allocation of resources is critical to the behavioral changes from healthcare practitioners that 5 result in this type of impact data. Also, the analysis of the efforts to make changes to the prevalence rate of the problem showed that effective communication between practitioners is required by the organization to accomplish the successful implementation of the solution (Nuckols et al.

, 2017). For example, the reduction of medication error rate and the related cost of managing the problem was achieved through effective communication between the shift nurses and physicians in the acute care unit. Therefore, it was observed from the conduct of this project, that leadership support and communication are critical success factors for this type of program.

Evidence-based Recommendations The emphasis on the promotion of a patient safety culture is considered as one of the most effective methods for preventing amenable mortality in the acute care unit of any healthcare organization. According to Gusmano et al. (2015), changes in the safety culture of hospitals result in modifications of the complexities in the systems that create the issues that contribute to the high rate of avoidable death and reduction of life expectancy of the population.

In this regard, there is evidence that emphasis on patient safety culture contributes to efforts on finding errors, using the identification to create training programs, identification and implementation of safeguards, and activities or practices to sustain the positive outcomes. In this regard, this approach helps the organization to invest in processes and systems that standardize the compulsory protocols and eliminate the discrepancies that increase the potential of safety issues in the unit.

Similarly, the increased focus on improving the patient safety culture also helps the hospital to leverage the adaptive nature of humans and benefits that result from the capacitybuilding initiatives. Hence, the promotion of patient safety culture is an evidence-based approach to reduce the rate of amenable mortality in an acute care hospital.

6 Finally, the use of value-based interventions is considered another evidence-based approach to reducing the prevalence of amenable mortality in healthcare organizations. It is one that Barber et al. (2017) regard as effective for clinical settings where resources are limited because of its focus on the contextual factors and processes that result in the problem.

The scholars further stated that this approach is required when stakeholders are required to select the best option from various available ones that give maximum impact at lower implementation costs. In this regard, the investment can be channeled to integrated health information systems instead of other processes that give lower impact results on the problem.

Also, this approach is useful for promoting patient engagement and creating additional frameworks that leverage the values of different safety indicators on the resolution of the problem. Therefore, this is substantial evidence that this approach is another effective intervention for reducing the rate of amenable mortality in healthcare organizations.

7 References Barber, R. M., Fullman, N., Sorensen, R. J., Bollyky, T., McKee, M., Nolte, E., … & Davey, G. (2017). Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study 2015.

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, Anderson, L., Doyle, B. J., Pevnick, J., … & Shekelle, P. (2017). Economic evaluation of quality improvement interventions designed to prevent hospital readmission: a systematic review and meta-analysis. JAMA internal medicine, 177(7), 975-985. Rhee, C., Jones, T. M., Hamad, Y., Pande, A.

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