D160 NAHQ Domains

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School

Western Governors University *

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Course

160

Subject

Health Science

Date

Jan 9, 2024

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docx

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Uploaded by CoachWorldSparrow17

The NAHQ modules cover eight competencies within four domains of healthcare quality improvement. These four domains are organizational leadership, patient safety, performance and process improvement, and health and data analytics. In this reflection, I will discuss how this healthcare improvement project (HIP) meets the requirements of these four domains for healthcare quality improvement. The first domain is organizational leadership. Organizational leadership encompasses many topics and competencies within the NAHQ learning. Included within this domain are topics such as “identify activities to support organizational commitment to quality”, “ describe measures to engage stakeholders in promoting quality and safety”, “evaluate and integrate external best practices”, and “describe quality initiatives impacting reimbursement” (Western Governors’ University, n.d.). While this HIP covers many of these topics, the primary topic covered by this HIP is the evaluation and integration of external best practices. The focus of this HIP is to educate our teams about the various access devices available for patients within the oncology population and the standards and guidelines surrounding the utilization of these devices with chemotherapy and cytotoxic medications. The second domain is patient safety. Patient safety encompasses such topics as assessing the “organization’s culture of safety”, “identify quality professional's role in integrating safety activities throughout the organization”, and “identify the role of technology in enhancing patient safety” (Western Governor’s University, n.d.). This HIP covers several of these topics within the educational program and during the development of the program. The use of technology to enhance the safety for both the patient and nursing staff is discussed in the educational portion of the program. This includes closed system administration of chemotherapy, built-in safety mechanisms within various access devices, and guidelines on the use of electronic pumps with different access devices and therapies.

The third domain is performance and process improvement. Performance and process improvement includes many of the topics necessary in the development of the HIP. Included within this domain are “identify methods to establish priorities, develop action plans, and evaluate the success of performance improvement projects”, “describe team roles, responsibilities, and scope”, and “describe the implementation of performance improvement methods such as Lean, PDSA, and Six Sigma” (Western Governors’ University, n.d.). The first two topics were covered when developing the project charter for the HIP. Development of the HIP team required identification of the HIP topic, establishing priorities for the project, creation of an action plan, and development of KPIs to evaluate the performance of the project. While the action plan was a separate document, the timeline for the HIP, goals for the HIP, scope of the project, and team roles and responsibilities were all defined within the project charter for the HIP. PDSA was utilized during the development of the HIP to guide the steps of development and implementation. The fourth domain is health and data analytics. This domain covers data collection processes, the use of data management systems, using data in decision making, and using statistical analysis methods. Data collection was necessary prior to HIP implementation to create internal benchmarks and during implementation to monitor the success of the HIP. The data collected was analyzed using statistical analysis methods and the results were evaluated to determine both baseline data for the benchmarks and to evaluate progress towards the stated HIP goals. Progress, or the lack thereof, toward the HIP goals helps to direct decision making for modifications of the HIP. For this HIP, further analysis of the post-implementation knowledge scores down to the question level showed that further improvement could potentially be reached by modifying the length of the presentation and separating it into two shorter educational segments.

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