NURS FPX 8010 Assessment 4 Quality Improvement Proposal

The change stage theorizes that those same people or teams need to process and work through the newly implemented changes, which may require leaders to take a more vested interest in their teams and their adjustment to a new version of productivity. Lastly, the refreezing stage is a method of solidifying the new change to make it habitual. For this project, the standard operating procedure and supporting policies would be finalized and disseminated across the organization and leaders would be expected to hold their teams accountable and prevent them from returning to old habits which diminish the patient experience.

Adelante’s strategic priorities are spread across four domains: finance, people, patients, and wellness. The selected nursing department priority for this quality improvement proposal is patient experience which aligns directly with Adelante’s patient satisfaction objective in the patient domain. In conducting a SWOT analysis (Avila, 2022), strengths, weaknesses, opportunities, and threats were reviewed and can be seen below.

SWOT Analysis

Strengths

Weaknesses

The project team is comprised of individuals with extensive medical knowledge, background, and experience such as leadership, operations, quality, nursing, and clinical informatics. There is no guarantee that clinical staff and providers will continue to adhere to modified guidelines and processes following project implementation.
The project will focus on the quality measures relevant to the organization through an improvement in key performance indicators (KPIs) such as patient satisfaction scores. The timing of project planning and implementation competes with daily tasks and priorities of team members for this project. Setting aside dedicated project time may be a challenge.
Using an optimized provider inbox within the EMR will improve the quality of care provided to patients and enhance clinical staff satisfaction. A lack of understanding of the root issue of the problem may require more resources initially than initially anticipated.
Increased patient satisfaction can promote increased patient referrals and visits to the clinics, which improves revenue generation for the organization.

Opportunities

Threats

Talent retention: improved patient-provider communications and have a beneficial impact on provider retention and satisfaction scores. Staff turnover may increase and make implementation and training more challenging.
Provides more timely labs and diagnostic services and results to Adelante’s patients. Clinical staff do not currently have a good understanding of the process or problem; gaining buy-in may be a challenge.
Improving patient retention through advocacy and resource provisioning via the inbox optimization.

Risk Level

Risk

Medium Staff attrition
Low Lack of buy-in to the project

Conclusion

Patients are experiencing delayed care, diagnoses, referrals, and communication, which is ultimately damaging Adelante’s brand and reputation because of its direct impact on the patient experience. To solve this issue, in-depth analysis, collaboration, and provider buy-in will be required. Key stakeholders include members of the c-suite like the CEO and CMO as well as the Director of Quality, Regional Medical Director, and Clinical Informatics manager. Leveraging

stakeholder power lines, resources, and Lewin’s Change Theory of unfreeze-change-refreeze, optimizing patient-provider communications can be significantly improved and enhance the value of care Adelante patients receive, which, in turn, will improve the patient experience.

A SWOT analysis was conducted and concluded that while some threats exist, the number of strengths, including the assets of the project team, really minimizes the probability of threats being realized. “…A good patient experience– while considered merely desirable in the past – is moving center-stage” (Lang, 2012). Aligning


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