Evaluating and Sustaining ImprovementThe downfall of many quality improvement initiatives is the inability to sustain improvements. Last week, you considered the use of evidence-based practice models as a method for sustaining practice changes to improve quality. This week’s Discussion builds on those concepts of sustainability. You evaluate measurement mechanisms and explore strategies that leadership and improvement teams can use to sustain improvement efforts.To prepare:
Review the evaluation tools presented in the Learning Resources and how the tools can be used to promote sustainability.Select a measurement mechanism that can be used to evaluate your quality improvement initiative. You may wish to conduct additional research on the use of measurement mechanisms to sustain outcomes of improvement initiatives.Consider the influence of leadership and improvement teams in sustaining improvement efforts. Ask yourself: What specific strategies can leaders and my improvement team use to sustain our improvement initiative?
By tomorrow Wednesday February 7, 2018 by 12 noon, post a minimum of 550 words essay in APA format with at least 2 references from the list below. Include the levels one headings as numbered below:post a cohesive scholarly response that addresses the following:1) Evaluate the influence of leadership and improvement teams in sustaining improvement efforts.2) Present a succinct analysis of three or more strategies leaders and teams can use in your response.Required ReadingsRichardson, A., & Storr, J. (2010). Patient safety: A literative review on the impact of nursing empowerment, leadership and collaboration [corrected] [published erratum appears in INT NURS REV 2010 Mar;57(1):158]. International Nursing Review, 57(1), 12–21. doi:10.1111/j.1466-7657.2009.00757.xThis article analyzes how nurses can improve patient safety. It identifies certain knowledge gaps that inhibit nurses’ ability to improve patient safety that must be addressed before they can effectively make contributions.Bigelow, L., Wolkowski, C., Baskin, L., & Gorko, M. (2010). Lean Six Sigma: Sustaining the gains in a hospital laboratory. Clinical Leadership & Management Review, 24(3), 1–14.In this article, a health care organization uses Lean Six Sigma to improve performance, but it does not initially achieve the desired results. It then utilizes an Operational Performance Improvement office from within the organization to receive better training in Lean Six Sigma and it is finally able to improve performance.Murphree, P., Vath, R. R., & Daigle, L. (2011). Sustaining Lean Six Sigma projects in health care. Physician Executive, 37(1), 44–48.The authors of this article consider ways to keep Lean Six Sigma projects operating instead of closing them. They distinguish between closing and controlling, the latter being the last phase in Lean Six Sigma. According to the authors, many organizations close Lean Six Sigma projects when they should be controlling them.Required MediaLaureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational change. Baltimore: Author.Note: The approximate length of this media piece is 10 minutes.This video examines factors that enhance and impede organizational change. Dr. Wooden and Dr. Freshman discuss change models that can be used to manage the change process and to assist individuals through the transition period

Topic: Group oral assignment (poster)Order DescriptionScenario:Mrs Janet Kneebone (ageing) Mrs Janet Kneebone is an 86-year-old widow who lives alone in her home about 25 kilometres from the nearest town. Her daughter Kathy lives 60 kilometres away and visits on weekends. Janet no longer drives due to her poor eyesight. As a result she is home bound except for Sundays when someone from the church comes to pick her up and take her home again. Janet describes herself as independent and states she hates being fussed over. Janet does some shopping on the weekend with Kathys help and gets Meals on Wheels. She has someone come in once a fortnight to clean and do the heavy washing such as sheets but otherwise Janet takes care of her own washing and ironing. Lately there have been some problems with Janet leaving the stove on and with washing being left in the machine for a couple of days because Janet forgot to hang it out. The house also has a faint odour of urine.Janet has a history of gastro-oesophageal reflux and has been diagnosed with Barretts oesophagus. Her other medical diagnoses included arthritis and short term memory loss. Kathy is concerned that Janets memory problems are increasing.Janet has spent a week in a rehabilitation ward for observation and treatment after a fall at home during which she sustained soft tissue injuries to her arm and leg. The referral letter from the rehabilitation ward to the community health centre states that Janet is becoming incontinent. During the day she regularly leaked urine and sometimes did not reach the toilet in time. Janet also complained of tiredness because she needed to use the toilet during the night. Janets current medications are:Pantoprazole 20 mg dailyPanadol osteo tdsAspirin 100 mg dailyDesmopressin 0.2mg nocteJanet has an appointment to see the geriatrician at the memory clinic but that is not for another three months. Kathy is concerned about Janets safety in the interim.This is a group assignment the nursing issue Im looking after is:Prevention of falls at home- has to be around the clutter in her house and her poor eye sight. They also need to be linked together.Word limit: 500 words1) Clearly identify and state the nursing issue and provide the most relevant assessment data from the case scenario to support your claim.2) Comprehensively justify why this nursing issue is your primary concern. Your justification should be based on current evidence-based literature.Points for consideration include:a. Severity of issue e.g. life-threateningb. Maslows Hierarchy of Needsc. Patients preferenced. The effects of this nursing issue on the patients functional status and quality of life please refer to Millers Functional Consequences Theory (for older adults only).3) Ensure you have your nursing issues in an appropriate order to demonstrate your nursing priorities.*This has to go on a poster so could you please do the script and then write the headlines with dot points of main points of the script.

Reflecting on your learning in the MBA program, section 4.2 of the CapSim Team Member Guide, and Pettus, Chapters 5 and 6, identify and explain the value of a marketing strategy that could lead to market dominance for your product and/or company. What decisions are you considering in Practice Round 1 to maximize your market share? Discuss your approach in terms of the marketing mix variables.
Include in your assessment:
Your approach to each of the marketing mix variables (product (R&D), price, place, and promotion)
Approach to growth in terms of market penetration, development and product development as discussed by Pettus in Chapter 6.
How your strategy can be achieved through CapSim decisions

You have been asked to create a handout to educate new healthcare employees as to the current and future challenges of healthcare economics within the Kingdom of Saudi Arabia. Use Vision 2030 as a guide.
Be sure to include the following economic components:
Access,
Quality, and
Costs.
Your handout should meet the following structural requirements, and must:
Be two pages in length, not including the cover sheet and reference page (four pages total).
Include headings titled:
Introduction
Economic Components
Access
Quality
Costs
Conclusion
Include an informational paragraph under each heading and a citation to the resource utilized.
Be formatted according to APA and Saudi Electronic University writing standards.
Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external. The Saudi Digital Library is a good place to find these references.

Data, details and information in the master patient index (MPI) are entered through the patient registration process. Human error may occur as a result of entering incorrect information such as a name or date of birth into the computer registration system, and this can result in matching a patient to an incorrect patient already in the system or in failure to match the current registration to an existing patient in the system. The validity of the MPI directs the identification of virtually every account and every patient and impacts data reports used at the facility. A jeopardized MPI can be devastating to a facility and can require a good deal of time and resources to correct. Errors in the MPI require identification and correction so that the integrity of the Master Patient Index is maintained. This is the purpose of a Data Validation in MPI policy.
To begin this assignment and creation of a Data Validation in MPI policy, examine the guidelines from the AHIMA practice brief, found on the AHIMA Body of Knowledge, Ensuring Data Integrity through a Clean Master Patient Index, by Julie A. Dooling, RHIA, and Katherine Downing, MA, RHIA.
Ensuring Data Integrity Through a Clean Master Patient Index
This article should be used as a benchmark when creating a facility policy on Data Validation in MPI. The policy should be developed according to the bulleted list below:
Outline a process for data validation. Include all required steps listed in the article. (Use proper citation from resource.)
Include a section which identifies an acceptable accuracy rate and the process to improve when the goal rate is not attained.
Incorporate the role and responsibility of all involved areas, such as registration.
In addition to benchmarking against the AHIMA practice brief, other resources can be used to review policies and guidelines but begin with the AHIMA practice brief.
Follow a standard policy format and layout.
The submission must include a resource page and use citations to demonstrate the use of resource material.
Please Meet Criteria
Outlines data validation process, uses proper citations
Accuracy rate and process to improve, uses proper citations
Role and responsibility of involved areas, uses proper citations
Standard policy format used
Professional appearance, grammar, spelling, punctuation, APA resource page, etc.