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Assessment 4 Quality Improvement Project Plan

Coursework Instructions:
NURS-FPX8022 - Winter 2026 - Section 01Assessment 4Assessment Assessment 4 Quality Improvement Project Plan Instructions Resources Create a quality improvement project plan that is 8–10 pages in length. Introduction Doctor of Nursing Practice-prepared nurses need to be ready to lead projects to improve the quality of care provided. A key part of this is being able to create relevant and feasible plans that can be implemented by a team or organization. In this assessment, you will demonstrate this by creating a quality improvement project plan. Preparation In preparation for this assessment, please review your feedback from the previous three assessments and incorporate that feedback into this final course paper. If you choose to make revisions based on feedback from a previous attempt, you should highlight your revisions in yellow. For example, if you made revisions from attempt one and would like the instructor to review the content when grading attempt two, the content needs to be highlighted. Therefore, the instructor reviews only the content highlighted on attempts two and three. If the entire paper is highlighted, the paper will be returned ungraded and will count as an attempt. Track changes are not a substitution for highlighted text. Use the Quality Improvement Project Plan Template [DOCX] to create your final assessment. Instructions Before you get started, please watch the following video: NURS-FPX8022 Assessment 4 Video. All of your previous assessments have been built toward completing this assessment. Now, it is time to create a quality improvement project plan, using data to create a sense of urgency. You should include depictions of pre- and post-implementation workflows and the risk management mitigation plan you developed. Overall, your assessment will be assessed based on the following criteria and should be presented in the order listed: Explain the problem, its significance, and its impact on the chosen healthcare environment.  Define and describe the problem. Detail the significance and impact of the problem. Who are the stakeholders? (Examples: executive leadership, clinical departments, IT department, medical staff, and legal counsel.) Why is the problem important to the stakeholders? Make sure you use appropriate data from sources like Leapfrog and Medicare Compare to support your explanation.  What does the Leapfrog data tell you? What does Medicare Compare information reveal? Outline proposed technology/informatics solutions and the plan to implement them within the chosen healthcare environment.  Discuss the proposed solutions. What are you trying to accomplish? What is the compelling vision? Describe the technology/informatics solution(s). Articulate how the technologies/informatics will facilitate workflow and/or transform practice to improve patient outcomes. Specify at least three data points to be measured and the monitoring tool that will be used to show opportunities for improvement, modifications, and/ or sustainability. Make sure you address why your plan is relevant to your problem. Explain potential implementation challenges related to the proposed plan.  Think about the logistical, personnel, and resources that might be part of the challenges or that could help overcome the challenges. This is a great place to bring in some of your findings from your mitigation plan. Explain the role of leaders in change management related to the proposed plan.  Think about who the relevant leaders would be for implementing your plan and what type of communication plan they should be using to help with implementation.  Consider organizational readiness, strengths, and barriers. Include suggested model for leading organizational change, including rationale for selection. Examples: Kotter’s eight-step process, Lewin’s change management model. You may use Lean Six Sigma, including DMAIC, if you hold the appropriate certifications. Please include your certification as Appendix C. Include proposed communication plan. What information would you provide to the executive leadership and/or board to garner support for the proposed change? Analyze the workflow related to the technology/informatics, providing visual depictions of the workflow before and after implementing the proposed plan.  Provide a narrative of the workflow related to the proposed plan. Make sure to address both pre- and post- implementation workflows for each proposed intervention. The narrative of the workflow will go in the body of the paper under the heading “Workflow.” In the narrative, please refer to Appendix A or Appendix B, as needed. Analyze and describe where inefficiencies, breakdown of process, and/ or communication occurs. Differentiate value-added versus non-value-added steps. Create visual depictions for the workflow of each proposed intervention. Include as a properly formatted appendix.   Visual depiction of the existing process or practice process map. (Appendix A). Visual depiction of the post practice change process or practice process map. (Appendix B). Articulate meaning relevant to the main topic, scope, and purpose of the prompt.  Write with a specific purpose and audience in mind.  Adhere to scholarly and disciplinary writing standards. Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your assessment. Apply APA formatting to in-text citations, references, and appendix. APA formatted citations and references for a minimum of eight scholarly references. Additional Requirements Your assessment should also meet the following requirements: Length: 8–pages in length, excluding the title page, references page, and appendices. References: APA formatted citations and references for a minimum of eight scholarly references, no more than five years old. Visit the Doctor of Nursing Practice (DNP) Program Library Guide for help with library research. Use Academic Writer for guidance in citing sources and formatting your paper in proper APA style. See the Writing Center for more APA resources specific to your degree level. APA format: Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your plan. Be sure to include: A title page and references page. An abstract and running head are not required. Appropriate section headings. Additional information: In addition to an introduction with a thesis statement and a conclusion, use the following section headings to format the body of your paper to ensure thorough content coverage and flow. Problem, Significance, and Impact. Technology/Informatics Solution. Implementation Plan and Challenges. Leader Role in Change Management. Workflow. Nomenclature: Please save the document you are submitting for grading using the following format. Lastname, First name – Assessment 4 Attempt # Competencies Measured By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria: Competency 1: Use data, technology, and change management to drive improvements in healthcare organizations. Explain potential implementation challenges related to the proposed plan with logistical, personnel, and resource consideration supported by findings from the mitigation plan. Explain the role of leaders in change management related to the proposed plan with description of relevant leaders and communication plan; include consideration for organizational readiness, strengths, and barriers; and include description of model for leading organizational change. Competency 2: Manage risks in technology implementations. Discuss proposed technology/informatics solutions and the plan to implement them within the chosen healthcare environment with at least three data points to show opportunities for improvement, modifications, and/or sustainability; include a description of items to accomplish and why the proposed solution is relevant to the problem. Include proposed communication plan with narrative that analyzes workflow related to technology/informatics, providing visual depictions of workflow before and after implementing proposed plan. Competency 3: Explain potential ethical or legal issues associated with technology implementation. Explain problem, its significance, and its impact on chosen healthcare environment. Describe stakeholders and why this is a problem for them, with appropriate supporting data from sources like Leapfrog and Medicare Compare. Competency 4: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards. Use required headings in required page limit. Convey purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences. Apply APA style and formatting to scholarly writing with two or fewer errors per document page. Scoring Guide Use the scoring guide to understand how your assessment will be evaluated.
Coursework Sample Content Preview:
AI-Driven Smart Clinical Dashboard Implementation Plan Student’s Name: Department: Course Name: Professor’s Name Date: AI-Driven Smart Clinical Dashboard Implementation Plan The environment of emergency departments (EDs) at HCA Healthcare is high-stakes, and prompt decision-making is necessary. Disjointed electronic health record (EHR) systems are usually cumulative to risks in such environments. Clinicians are often required to work across numerous interfaces. The result of this navigation is alert fatigue due to the flood of clinical decision support (CDS) alerts and delays in receiving important medication or diagnostic data. Such problems lead to medication errors, delayed diagnosis and poor patient outcomes. The issues increase weaknesses in the organization in a system that benefits millions each year (HCA Healthcare, 2025). These inefficiencies have been identified in pre-evaluations, such as the SAFER Guides. These evaluations indicate vulnerabilities in interface surveillance, governance, and usability that amplify cognitive and risk factors of safety (Sittig et al., 2025). National trends indicate that EHR systems can identify approximately two-thirds of possible errors. Such systems give rise to negative events due to alert overrides (Classen et al., 2020). At HCA, the performance indicators show that there are continuing issues with medication safety and ED throughput. There are facilities where high rates of infections and communication failures are reported due to the workflow fragmentation (Litchfield et al., 2025). This quality improvement (QI) project plan is designed to describe how the implementation of an AI-based smart clinical dashboard at HCA EDs can help resolve these problems in a systematic way. This project plan will be an organized, data-based deployment of an AI-enabled smart clinical dashboard in HCA Healthcare EDs. The dashboard will enhance patient safety, workflow, and clinical decision-making with evidence-based change management and risk mitigation strategies. Problem, Significance, and Impact The fundamental issue of HCA EDs is the poor integration of EHR interfaces where clinicians have to alternate between patient data, CDS alerts and operational metrics systems. This disruption promotes alert fatigue. There are overrides and missed signals in such situations due to excessive notifications. Slow medication and diagnostic information is a barrier to timely interventions (Howe et al., 2018). Problems are exacerbated by communication breakdowns. Other informal workarounds such as verbal handoffs or non-secured messages lower traceability and enhance errors in ED clinician-pharmacy and inpatient unit transfers (Livesay et al., 2023). These issues are very important. This fragmentation immediately increases the risk of medication errors and adverse events that may cause harm to patients. Burnout is associated with provider cognitive overload. Research indicates that workload augmented by technological means results in dissatisfaction and turnover (Mohammadnejad et al., 2023). Functionally, ED boarding and throughput delays have a straining effect on resources. These wait times increase waiting time and efficiency in high-volume environments (Zayas-Caban et al., 2023). In the case of HCA, they are financial and regulatory risks. The threats consist of fines related to low quality indicators and accreditation difficulties (Sittig et al., 2025). Some of the main stakeholders are the executive leadership who manage the strategic alignment. Workflows directly affect ED nurses and physicians. Safety in pharmacy departments depends on correct data. Integration is done by IT and informatics. The area of risk management and legal counsel is concerned with compliance. Miscarriages affect patients and families, as well (Danso & Lasim, 2024). This is important to the stakeholders since reimbursement is based on quality metrics. CMS also makes payments contingent upon safety performance (Yuan et al., 2019). Accreditation depends on patient safety scores. Employee satisfaction is a key motivator to employee retention in times of shortage. The regulatory compliance helps to avoid the punishment and creates trust and sustainability. Data to support this is the Leapfrog Hospital Safety Grades which show that HCA performs variably. Although most facilities get A grades, medication safety, EHR usability, ED throughput, and error prevention gaps remain (The Leapfrog Group, 2025). Barcode compliance variability poses the risk of dosing errors (Classen et al., 2020). HCA hospitals have most of their hospitals with 3-star ratings in Medicare Care Compare data (Centers for Medicare & Medicaid Services, 2025). The data is indicative of poor nursing communication and responsiveness to disjointed systems. These results are opposite to the better performers such as Southeast Health. These problems put HCA at the heightened risks nationwide. Harms that are related to EHRs lead to preventable occasions in as many as 33% of instances (Howe et al., 2018). The integrated evidence of the same indicates that disjointed systems pose cascading risks on the quality, safety, financial, and regulatory areas on HCA Healthcare EDs. Technology/Informatics Solution The compelling vision of this QI project is to have a smart, real-time dashboard which integrates ED clinical data. The dashboard can enable clinicians to make informed decisions that are safer and quicker. It is an AI-based smart clinical dashboard, which combines EHR data, prioritized CDS alerts, medication safety indicators, lab and imaging results, and operational metrics into a single, roles-based interface (Murphy et al., 2021). The system is integrated unobtrusively into the current workflows of HCA without the need to create new logins in the system. It uses predictive analytics to prioritize actions and automatize the process of reconciliation with minimum human checks. This technology will revolutionize practice by decreasing alert fatigue by using smart prioritization. The notification of critical only are shown under this system. The methodology reduces the overrides and improves responsiveness (Litchfield et al., 2025). It enhances a situational awareness as it gives a summary view. The centralized interface allows the immediate detection of such risks as sepsis or drug interactions (Classen et al., 2020). The interdisciplinary communication is also improved through the standardized, traceable messaging in the dashboard. This minimizes on external workarounds...
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