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 method utilized across multiple sectors to enhance the quality, efficiency, and effectiveness of processes, products, or services by pinpointing areas for improvement. Within the context of this project, the focus of quality performance assessment revolves around educating staff on nutritional modifications and utilizing telehealth interventions to facilitate efficient diagnosis of Chronic Obstructive Pulmonary Disease (COPD). The QI/PI methodologies foster continuous improvement and help achieve higher performance standards (AHRQ, 2020).

Describing the Current Practice Needing Improvement

The current practice concerns the care provided to in-patients diagnosed with COPD, a chronic respiratory condition that substantially affects lung function and overall quality of life (Konstantinidis et al., 2022). COPD patients frequently require specialized care to manage symptoms, improve lung function, and prevent hospital readmissions. However, a root cause analysis indicates deficiencies in current practices, such as inadequate knowledge about nutritional management, delayed follow-ups, and the need for optimized COPD management. Additionally, the absence of timely emergency services contributes to prolonged waiting periods (Konstantinidis et al., 2022).

A gap analysis underscores the necessity to address these shortcomings, especially in the care of COPD in-patients. The aim of this project is to explore and compare the effects of nutritional interventions and telehealth services to close this gap. By doing so, the project seeks to improve lung function outcomes and reduce hospital readmission rates in COPD patients (Press et al., 2019; Wong et al., 2022).

A QI/PI Framework Supporting and Guiding the Project

To guide the project, the Plan-Do-Study-Act (PDSA) model, a structured QI/PI framework, can be employed. The PDSA framework provides a systematic approach for identifying, implementing, and evaluating interventions. Specific milestones, such as conducting a literature review, designing the study, developing protocols, and implementing the interventions, will be essential for achieving project goals. Stakeholder feedback incorporated in formative assessments will offer critical insights to enhance the project’s efficacy (Burkes et al., 2018; Ko et al., 2019).

How QI/PI Data Will Be Collected and Analyzed

The collection and analysis of QI/PI data will play a crucial role in evaluating the effectiveness of the proposed interventions. Data sources will include standardized tools, patient surveys, medical records, and other relevant sources. Comparative analysis will assess the impact of nutritional modifications and telehealth interventions on lung function outcomes and hospital readmission rates. Continuous monitoring and stakeholder feedback will contribute to the ongoing assessment and potential improvement of the interventions (Konstantinidis et al., 2022; Sculley et al., 2021).

Evaluation of Changes in Quality or Performance

To measure changes in quality and performance, evaluation tools such as COPD-related Chronic Respiratory Questionnaire (CRQ) and spirometry tests will be used. Quantitative data, including readmission rates and patient satisfaction scores, will be analyzed using appropriate statistical methods. The evaluation criteria will focus on effectiveness, efficiency, and stakeholder engagement, ensuring alignment with the project’s objectives. These metrics will be compared against baseline data to gauge improvement (Robertson et al., 2021).

Conclusion

This project highlights the significance of QI/PI methodologies in improving the care of COPD patients. Through continuous monitoring, evaluation, and quality improvement efforts, the project aims to achieve sustained success in delivering high-quality care to COPD patients. Furthermore, the findings offer valuable insights for future initiatives that prioritize performance improvement in healthcare settings.

References

Agency for Healthcare Research and Quality. (2020). Plan-Do-Study-Act (PDSA) directions and examples. www.ahrq.gov. 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). Agency for Healthcare Research & Quality. 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

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

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

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

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