NUR 400 Milestone One Guidelines and Rubric
The milestone assignments in this course are to help you prepare for the final project PowerPoint (PPT) presentation. Milestone One sets the stage for the proposal of your initiative. You will identify a patient care issue that provides an opportunity for a quality improvement initiative. You will then use evidence-based resources to support the proposed initiative and its development. Your instructor will provide feedback for each milestone. You should incorporate this feedback into the final project PPT presentation.
Prompt
For this milestone, use evidence-based resources to address the following topics:
Introduction and Proposed Initiative
Analyze a healthcare organization to determine the key characteristics (including organizational values, if applicable) impacting its quality of care, with a focus on the relationship between quality outcomes and healthcare reimbursement.
Articulate a quality outcome problem involving patient care and impacted by financial considerations that provides a quality improvement opportunity.
Articulate a proposed initiative, including recommendations of interprofessional strategies to improve the patient care problem.
Articulate a SMART goal that the leadership role can support in the planning, analysis, and implementation of the quality improvement initiative.
Assess a quality improvement model for its applicability and use to promote change with the quality improvement initiative.
What to Submit
Your submission should be a Word document approximately 2–4 pages in length (not including title and reference pages) and should be formatted using proper APA publication format. This submission should include at least two evidence-based references published within the last five years.
Milestone One Rubric
Criteria Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value
Healthcare Organization Meets “Proficient” criteria and evidences keen insight into analyzing organizational nuances that could influence the relationship between quality of care and/or healthcare reimbursement Thoroughly analyzes a healthcare organization to determine the key characteristics impacting quality of care with a focus on the relationship between quality outcomes and healthcare reimbursement Analyzes the organization to determine important characteristics impacting quality of care and healthcare reimbursement, but with gaps in accuracy or detail Does not analyze the organization to determine important characteristics impacting quality of care and healthcare reimbursement 10
Quality Improvement Opportunity Meets “Proficient” criteria and articulation demonstrates a sophisticated or professional understanding of the quality outcome problem and related opportunity Clearly articulates a quality outcome problem involving patient care, and impacted by financial considerations, that provides a quality improvement opportunity Articulates either a quality outcome problem or a quality improvement opportunity, but does not articulate both or fails to clearly articulate the financial considerations Does not articulate a quality outcome problem or a quality improvement opportunity 20
Proposed Initiative Meets “Proficient” criteria and offers reflective insight into the application of strategy to improve the organization’s patient care problem Clearly articulates a proposed initiative including recommendations of interprofessional strategies to improve the patient care problem Articulates a proposed initiative but with gaps in clarity or an insubstantial connection to the patient care problem Does not articulate a proposed initiative 20
Goal Meets “Proficient” criteria and offers greater depth of explanation about the expected quality outcomes resulting from achievement of the SMART goal Accurately articulates a SMART goal that the leadership role can support in the planning, analysis, and implementation of the quality improvement initiative Articulates a goal that does not adhere to the SMART framework Does not articulate a goal for the quality improvement initiative 20
Quality Improvement Model Meets “Proficient” criteria and applies a quality improvement model that demonstrates applicability to and awareness of the unique characteristics of the organization or initiative Thoroughly assesses a quality improvement model for its applicability and use to promote change with the quality improvement initiative Assesses a quality improvement model, but with gaps in accuracy or applicability to the organization and/or initiative Does not assess a quality improvement model for applicability 20
Submission Formatting Submission is properly organized with proper APA publication formatting for citations and references Submission is properly organized with minor errors to APA publication formatting for citations and references Submission is properly organized but contains multiple errors in APA publication formatting for citations and references Submission does not use proper APA publication formatting for citations and references 5
Articulation of Response Submission is free of errors related to citations, grammar, spelling, and syntax and is presented in a professional and easy-to-read format Submission has no major errors related to citations, grammar, spelling, or syntax Submission has major errors related to citations, grammar, spelling, or syntax that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, or syntax that prevent understanding of ideas 5
Total: 100%
