• Competency 1: Analyze quality and safety outcomes from an administrative and systems perspective.
  • Identify typical quality and safety outcomes and their associated measures.
• Competency 3: Determine how specific organizational functions, policies, processes, procedures, norms, and behaviors can be used to build reliability and high-performing organizations.
  • Analyze organizational functions, processes, and behaviors in high-performing organizations.
  • Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.
  • Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
• Competency 4: Synthesize the various aspects of the nurse leader’s role in developing, promoting, and sustaining a culture of quality and safety.
  • Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
• Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
  • Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Organizational functions, processes, and behaviors can include leadership practices, communications, quality processes, financial management, safety and risk management, interprofessional collaboration, strategic planning, using the best available evidence, and questioning the status quo on all levels.

• What are some examples of organizational functions, processes, and behaviors related to the outcome measures and performance issues discussed in your executive summary?
• How would you implement change in addressing particular issues and opportunities?
• In what ways do stakeholders support outcome success?

Assessment Instructions

This assessment is based on the executive summary you prepared in the previous assessment.

Preparation

Your executive summary captured the attention and interest of the executive leadership team, who have asked you to provide them with a detailed report addressing outcome measures and performance issues or opportunities, including a strategy for ensuring that all aspects of patient care are measured.
Note: Remember that you can submit all or a portion of your draft report to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback, if you plan on using this free service.

Requirements

Note: The requirements outlined below correspond to the grading criteria in the Outcome Measures, Issues, and Opportunities Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also want to read the Outcome Measures, Issues, and Opportunities Scoring Guide and Guiding Questions: Outcome Measures, Issues, and Opportunities (linked in the Resources) to better understand how each criterion will be assessed.

Drafting the Report

• Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
• Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
• Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close. Create a spreadsheet showing the outcome measures.
• Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
• Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.

Writing and Supporting Evidence

• Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
• Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Additional Requirements

Format your document using APA style.

• Use the APA paper template linked in the resources. Be sure to include:
  • A title page and reference page. An abstract is not required.
  • A running head on all pages.
  • Appropriate section headings.
  • Properly-formatted citations and references.
• Your report should be 6 pages in length, not including the title page and reference page.
• Add your Quality and Safety Outcomes spreadsheet to your report as an addendum.

Grading Rubric:
1-  Analyze organizational functions, processes, and behaviors in high-performing organizations.
Passing Grade:  Analyzes organizational functions, processes, and behaviors in high-performing organizations, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis).
2-  Determine how organizational functions, processes, and behaviors support and affect outcome measures for an organization.
Passing Grade:  Determines how organizational functions, processes, and behaviors support and affect outcome measures for an organization, and identifies assumptions and reasons on which determination is based.
3-  Identify typical quality and safety outcomes and their associated measures.
Passing Grade:  Identifies typical quality and safety outcomes and their associated measures, and evaluates the quality of the data.
4-  Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
Passing Grade:  Identifies performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect, and identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty.
5-  Outline a strategy for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
Passing Grade:  Outlines a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff, highlighting opportunities for interprofessional collaboration.
6-  Write coherently and with purpose, for a specific audience, using correct grammar and mechanics.
Passing Grade:  Writes coherently and with purpose. Grammar and mechanics are error-free.
7-  Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Passing Grade:  Integrates relevant, credible, and convincing sources of evidence to support assertions. Sources are current, and citations and references are error-free.