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problem in a health care setting

Discussion: Post on or before Day 3 a brief description of an issue or problem in a health care setting that required, or requires, a change. Explain how you, as a nurse leader-manager, could apply both emotional intelligence and appreciative inquiry strategies to address this issue and facilitate positive results that lead to improved quality.
· If you have not already done so, follow the instructions in the course text, Emotional Intelligence 2.0 to complete the online assessment.
· Consider the results of the assessment. Review your strengths and opportunities for growth related to self-awareness, self-management, social awareness, and relationship management. What insights, questions, or concerns arise as you think about these results?
2. Avedis Donabedian’s work generated a pivotal means of assessing organizational performance relative to structure, process, and outcomes. However, it is clearly not sufficient to view health care quality merely in terms of outcomes—the structures and processes that facilitate these outcomes are equally as important.
In this Discussion, you consider multiple frameworks that can be used to analyze an organization. As you proceed, consider how these frameworks allow you to examine the interplay of interdependent and related parts and processes that comprise the systems within an organization, as well as the arrangements or structures that connect these parts.
To prepare:
· Investigate and reflect on the systems and structures of an organization with which you are familiar. Consider the following:
o What is the reporting structure?
o Who holds formal and informal authority?
o How many layers of management are there between the frontline and the highest office-holders of the organization?
o How are interdisciplinary teams organized?
o How is communication facilitated?
o How well integrated is decision making among clinical personnel and administrative professionals?
o How are particular service lines organized?
o Which departments, groups, and/or individuals within the organization are responsible for monitoring matters related to performance, such as quality and finances?
· Select two of the following frameworks:
o Learning organizations, presented in the Elkin, Haina, and Cone article
o Complex adaptive systems (CAS), presented in the Nesse, Kutcher, Wood, and Rummans article
o Clinical microsystems, presented in the Sabino, Friel, Deitrick, and Sales-Lopez article
o Good to great, presented in the Geller article
o The 5 Ps, presented in the ASHP Foundation article
· Review the Learning Resources for each of the frameworks that you selected. Also conduct additional research to strengthen your understanding of how to use each framework to assess an organization.
· Compare the two frameworks. How could each framework be used to identify opportunities to improve performance? In particular, how would you use each of these frameworks to analyze the organization that you have selected?

WEEK 3
Discussion: Post on or before Day 3 an analysis of the systems and structures of the organization you selected, sharing specific examples. Explain insights that you gained by comparing the two frameworks, and how each can be used to assess an organization, identify a need for improvement, and, ultimately, enhance the performance of an organization.
3. PROJECT Complete instructions are provided in this week’s Learning Resources.
In this course, you develop a comprehensive Course Project: Promoting Health Care Quality. To initiate this project, this week you examine the systems and structures of an organization with which you are familiar. This analysis will serve as a foundation for developing a plan to address a quality improvement issue.
Section 1: Organizational Systems and Structures Evaluation
When a problem related to health care quality and patient safety arises, there can be an inclination to focus on a specific event rather than to examine the larger context surrounding it. Analyzing the systems and structures within an organization provides a foundation for generating a fuller understanding of how and why the event occurred and for developing strategies to address the underlying issues. Perhaps more importantly, such an analysis can be used to proactively identify potential challenges and improve organizational systems and structures in order to promote positive outcomes.
In the first section of your Course Project, you analyze the systems and structures of a health care organization with which you are familiar.
To prepare:
· Identify a health care organization with which you are familiar; one that you will be able to sufficiently analyze to complete the full scope of the Course Project. (Refer to the Course Project Overview as needed.) This may be the same organization that you addressed in this week’s Discussion.
· Select two or more of the following frameworks:
o Learning organizations
o Complex adaptive systems (CAS)
o Clinical microsystems
o Good to great
o The 5 Ps
You may use the same frameworks that you addressed in this week’s Discussion.
· With these frameworks in mind, analyze the systems and structures of the organization. Be sure to research and consider:
o Mission, vision, and values
o Strategic plan, goals, and objectives, if possible
o Key operational processes and patterns
o Information technology use
o Organizational priorities and investments, as indicated by financial data
In Week4, you will receive instructions for integrating an analysis of organizational culture into development of Section 1 of your Course Project. Once you have completed your evaluation, you will write a 3- to 5-page paper, which is due by Day 7 of Week 4.
Sections 1 and 2 of your Course Project are due next week. There are two project areas in Week 4 and both sections are due by Day 7, so be sure to check both the Week 4 Project 1 and Week 4 Project 2 areas for further instructions and to submit your project assignments on time.
· Review the information on organizational culture in this week’s Learning Resources.
· Reflect on the culture of an organization with which you are familiar. Consider the following:
o What elements of the organization’s culture seem most prominent or significant to you?
o What beliefs, dispositions, and/or actions seem to be most valued? Why do you think so?
o What do you notice about the expectations, assumptions, and more demonstrated among people within the organization?
o What artifacts provide clues about the culture?
o How do these cultural elements contribute to or detract from the organization’s ability to meet prominent goals and objectives?
· Consider how you, as a nurse leader-manager, could apply your knowledge of this culture to facilitate quality improvement initiatives within this organization. How would you leverage the strengths of the culture, and address limitations or obstacles that may arise within it?
WEEK 4
Discussion: Post on or before Day 3 an analysis of the culture of the organization that you selected. Explain how you think this particular culture contributes to or detracts from the organization’s ability to meet goals. Explain how you, as a nurse leader-manager, could utilize your knowledge of this culture to facilitate quality improvement initiatives within this organization.
Read a selection of your colleagues’ responses.
PROJECT: Section 1: Organizational Systems and Structures Evaluation
As you continue your evaluation of a health care organization, it is essential to pay attention to culture. Organizational culture provides the context in which all interactions and processes occur, and is therefore central to any effort to enact change.
To prepare:
· Continue to analyze your selected organization, as indicated in Week 3 (Section 1 of the Course Project).
· In addition, consider the ideas and information exchanged in this week’s Discussion. Continue to analyze essential elements of organizational culture and evaluate the influence of culture on the ability to achieve goals within your selected organization.
To complete:
Write a 3- to 5-page paper in which you:
· Provide a description of the organization you selected
· Present your analysis of the organization with attention to:
o Its mission, vision, values
o Strategic plan, goals, and objectives
o Key operational processes and patterns
o Information technology use
o Organizational priorities and investments, as indicated by financial data
o The essential elements of the organization’s culture
o The influence of culture on meeting organizational goals
Due by Day 7.
PROJECT PART 2: As Edgar Schein points out in his seminal work Organizational Culture and Leadership, both the Egyptians and the Mayans built pyramids. It would be easy to make the assumption that the building of pyramids must have similar meaning. However, in some cultures, pyramids housed tombs, while in others, they were temples. Within each culture, the meaning of the pyramid was likely evident, but to an outsider’s eye, incorrect assumptions could be made rather easily.
Last week, you began to analyze an organization’s systems and structures as groundwork for promoting patient safety and health care quality. The culture of an organization is also critically important. Leader-managers must understand the nuances of an organization’s culture to effectively address organizational issues.
This week you examine the influence of culture on the organization, and on efforts to promote positive systems-level change.
In addition, this week you continue your evaluation of a health care organization and identify a quality improvement issue to inform development of your Course Project.
Objectives

Students will:
· Analyze essential elements of organizational culture
· Evaluate the influence of organizational culture on achieving organizational goals
· Analyze strategies for aligning organizational culture with quality improvement initiatives
· Identify a quality improvement issue in a health care setting
Please proceed to the Resources.

4. WEEK 5
To prepare:
· Review the information in this week’s Learning Resources, including the first chapter in Pascale, Sternin, and Sternin book and the Bradley, Curry, Ramanadhan, Rowe, Nembhard, and Krumholz article.
· Reflect on health care quality problems or issues that warrant systems-level change. Consider the significance of each problem/issue. Identify one, in particular, that you would like to focus on for this Discussion. Note: You may use the quality improvement issue that you selected for your Course Project, if appropriate.
· With this problem or issue in mind:
o How would you apply the principles of positive deviance to address this problem/issue? What specific steps would you take to move from identification of the problem/issue through evaluation of outliers to implementation of a larger scale change to improve quality?
o What examples of positive deviance, if any, are you aware of related to this problem/issue? Conduct research as necessary to see if you can locate one or more instances of positive deviance.
Post on or before Day 3 a brief description of the health care quality problem or issue you selected and explain how it could be addressed using the principles of positive deviance.
PROJECT: Reminder: Section 2: Quality Improvement Issue: You will need to integrate Instructor feedback on your proposed quality improvement issue (submitted in Week 4) before proceeding with subsequent sections of the Course Project, which will be assigned in Weeks 6–10.
Week 6:
Discussion: To prepare:
· Review the information in the Learning Resources, especially the chapters in the Sadeghi, Brazi, Mikhail, and Shabot course text, focusing on how quality is or could be defined and measured.
· Think about a health care organization with which you are familiar. It may be the same organization you are focusing on for your Course Project, or a different one. How do you think various stakeholders in this organization would define quality? How would you define quality as it relates to this organization?
· Review the information on quality standards and / or aims in the Learning Resources, and consider the following:
o Which outcomes related to quality are currently being monitored in the organization that you have selected?
o How is related data collected and evaluated?
o Does the organization use health information technology in this regard? If so, how?
o How is quality-related information (e.g., data, needs for improvement) communicated throughout the organization?
o What do you consider to be the strengths and weaknesses of the current approach to quality in this organization?
Discussion Post on or before day 3 a definition of quality for your selected organization. Describe at least one quality-related measure that is currently being monitored within the organization. Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff. Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization.
PROJECT: Course Project: Promoting Health Care Quality
Section 3: Quality Measurement and Assessment
Measuring and assessing quality provides a foundation for identifying needs for improvement, developing effective interventions, and then monitoring progress toward desired results.
In the Sadeghi, Barzi, Mikhail, and Shabot text, the authors assert that an effort to improve quality “calls for setting outcome and performance targets (goals and expectations) beginning with the end in mind, and then formulating initiatives and actions (processes) that can serve as a bridge to take the organization from its current performance to its desired performance” (p. 182).
Having this “end in mind” can provide justification for dedicating valuable resources toward the effort, and help to lay a clear, concrete path that takes the organization from uncovering gaps between current performance and evidence-based targets to actually achieving those goals.
In this section of the Course Project, you focus on what you would measure—and how you would measure it—relative to your previously identified quality improvement issue. Note: This section of the Course Project will serve as the Portfolio Assignment for this course.
To prepare:
· Review the Learning Resources. Also conduct a search of the literature related to your selected quality improvement issue and complete the Evidence Matrix (provided in this week’s Learning Resources).
· Evaluate the evidence presented in the research literature and the quality standards proposed by various organizations, including the IOM’s six aims for quality improvement.
· Based on this review and your knowledge of the organization that you have selected, determine appropriate measures and indicators of performance related to your identified quality improvement issue.
· Consider how you could gather and use historical evidence of the organization’s performance related to the quality improvement issue. Also consider methods for gathering and assessing current quantitative and qualitative data, including those currently in use by the organization (e.g., chart audit data, staff surveys, quality indicators that are monitored, observations). If possible, examine actual data to assess your selected organization’s performance related to the issue.
· Think about what, specifically, you would like to achieve related to this issue. Establish realistic, evidence-based quality performance targets.
· Analyze gap(s) between the organization’s current performance and the performance targets.
· As you do this, you may wish to create a graphic organizer/alignment chart for your own use that illustrates:
o The measures and indicators that you would evaluate
o Current and historical data related to this quality issue—either actual data or methods for how you would collect and analyze the data
o Methods for collecting and analyzing data in the future (including when you would do this)
o Realistic, evidence-based targets
Additional instructions for Section 3 are presented in Week 7. To complete this Assignment, you will write a paper introducing your quality improvement plan. This Assignment is due by Day 7 of Week 8.
Week 7:
DISCUSSION: Using Improvement Science Models to Promote Quality and Safety
…while all changes do not lead to improvement, all improvement requires change.

—United States Agency for International Development

Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.
In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.
To prepare:
· Review the improvement models presented in the Learning Resources.
· Evaluate each of the models and select two on which to focus for this Discussion.
· Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following:
o How does the model bring together research and evidence-based practice to facilitate quality improvement?
o How does the model contribute to a culture of quality and safety?
o How does it address changes in process?
· Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project. Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.
Post on or before day 3 your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.
PROJECT: Section 3: Quality Measurement and Assessment

This week you continue working on Section 3 of your Course Project, which was introduced in Week 6. Through your work in previous weeks of this course, you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.
As you deepen your analysis of your selected organization, consider how the information presented in this week’s Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.
To prepare:
· Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:
o What is the overall purpose, or aim, of doing this work?
o What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?
o What value would this work add to the organization?
o How would this work improve practice and create outcomes with impact?
· Review Chapter 7 of the Sadeghi, Barzi, Mikhail, and Shabot course text. Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.
· With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.
To complete:
Write a 3- to 5-page paper that includes:
· An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization
· An overview of the current situation with regard to this quality improvement issue in the organization
· A description of measures and indicators
· A presentation on data related to this issue, including:
o Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data
o Methods for collecting and analyzing data in the future, including when you would do this
· A description of realistic, evidence-based targets
Be sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. This section of the Course Project serves as the Portfolio Assignment for this course.
Due by Day 7 of Week 8.
Section 4: Quality Improvement Strategies
Through your work on Section 3 of the Course Project, you have examined the gap between current performance and evidence-based targets and considered how addressing this gap relates to organizational priorities and large-scale aims for quality improvement.
In this section of the Course Project, you begin to think about quality improvement strategies that could help to bridge this gap. As noted in the Sadeghi, Barzi, Mikhail, and Shabot text, this is referred to as performance-driven planning.
Since the publication of the Institute of Medicine’s report “Crossing the Quality Chasm,” a good deal of attention has been paid to the need to examine processes that contribute to outcomes (Ernst, Wooldridge, Conway, Dressman, Weiland, Tucker, and Seid). As the USAID has noted, interventions “will not create the desired outcome to improve the quality of care unless the overall process of care delivery is also improved.” Therefore, attention to process redesign is a central aspect of cultivating strategies for improvement.
To prepare:
· Refer to the modified Donabedian model (access, structure, process, outcome, and patient experience) presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text.
· Recall the performance targets that you identified for Section 3 (in Week 6). What does the recommendation that performance-driven planning should “begin with the end in mind” suggest given your established goals?
· Review the information presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text, and think about how you would assess the organization’s strengths and weaknesses related to the performance gaps you identified in Section 3 (Week 6).
· Based on the above, start to think of specific evidence-based strategies that could be implemented to close/minimize the performance gaps you have identified. Consider both interventions (what) and processes (how). Focus on strategies that are supported by the latest research and could create systems-level change. These may be tentative for now, but be sure to identify at least one that specifically lends itself to a change in process (i.e., practice, protocol, pathway, activity).
Additional instructions for Section 4 are presented next week. To complete this Assignment, you will create a process map and write a paper describing quality improvement strategies. This Assignment is due by Day 7 of Week 8.
REMINDER: Course Project: Promoting Health Care Quality
Sections 3 and 4 of your Course Project are due next week. There are two project areas in Week 8 and both sections are due by Day 7, so be sure to check both the Week 8 Project 1 and Week 8 Project 2 areas for further instructions and to submit your project assignments on time.
WEEK 8
DISCUSSION: Using Process Maps for Quality Assessment and Improvement
Given the synergistic relationship between process and outcomes, leader-managers and other team members need to evaluate processes related to care delivery, customer service, and other matters in order to diagnose problems and effectively improve quality.
A process map is a visual representation that illustrates activities and practices as they occur, which serves as a valuable resource for identifying trouble spots. It is important to note that process maps can also be used for evaluation after an intervention has been implemented. For instance, looking at a process map following an intervention may help leader-managers to note discrepancies between what was planned and what is actually being practiced, or to see that a process has in fact improved, even if the outcomes have not met the targets.
In this Discussion, you examine how process mapping could be applied to your Course Project.
To prepare:
· Review the Learning Resources, focusing on the use of process maps for improving quality and safety.
· Bring to mind your work on your Course Project thus far. How could you use a process map to diagnose problems and inform strategies for improvement? In addition, think about how using a process map could inform and enhance your data collection efforts.
· Conduct additional research on this topic to support your thinking.
Post on or before Day 3 an explanation of how using a process map could inform and facilitate quality assessment and improvement, including data collection efforts, related to your Course Project. Support your response with evidence from the literature.
PROJECT part 1: Course Project: Promoting Health Care Quality
Section 3: Quality Measurement and Assessment
Review the complete Assignment description presented in Weeks 6 and 7. Submit Section 3 by Day 7.
PROJECT PART 2:
Course Project: Promoting Health Care Quality

Section 4: Quality Improvement Strategies
Throughout this course you have been considering the relationship between structure, process, and outcomes as it relates to health care quality. Looking at outcomes, alone, may not tell the “whole story.” For instance, if you are concerned with improving fall rates, evaluating the process—related activities or practices—can help you identify factors that contribute to outcomes and develop strategies for improving them.
For this section of your Course Project, you create a process map to examine a current process related to your quality improvement issue. You will use the results of the process mapping to redesign a process to help minimize or close the performance gap(s). As you proceed, keep in mind the importance of maintaining a patient-centered focus so the patient experience is not negatively affected by any changes in process.
To prepare:
· Review the instructions provided in the Learning Resources for creating a process map.
· With your quality improvement issue in mind, as well as the other work you have completed on your Course Project thus far, think about how creating a process map could help you to better understand your quality improvement issue and redesign an associated process.
· Create a process map using Microsoft Word or PowerPoint.
· Refine the strategies for promoting systems-level change to minimize or close the performance gap(s) that you began to think about in Week 7. As part of this, identify a way to redesign at least one process based on your analysis of the process map that you have created.
To complete:
· Write a 2- to 3-page paper in which you describe quality improvement strategies that you selected related to your quality improvement issue.
· Finalize your process map, which will be submitted along with the paper.
Submit your paper and process map by Day 7.
WEEK 9:
DISCUSSION: Using Evaluation Tools to Assess Quality Improvement Efforts
Like most other things in life, outcomes are the bottom line with respect to measurement of success along the path of quality improvement. However, without a careful analysis of the link between access, process, and structure of care, improvements in outcomes seem unattainable.

—Sadeghi, Barzi, Mikhail, & Shabot, 2013

In this Discussion, you consider how to collect and analyze qualitative and quantitative data to evaluate the results of quality improvement initiatives. In addition, you discuss the significance of evaluation and how you, as a nurse leader-manager, can contribute in an organization to the large-scale goal of facilitating quality improvement.
To prepare:
· Review methods for measuring and evaluating quality improvement efforts presented in the Learning Resources. Pay particular attention to how and why it is important to measure outcomes.
· Select one evaluation tool and analyze its benefits and relevance for the quality improvement plan you are developing for your Course Project.
· Consider how you, as a nurse leader-manager, can use the results from the evaluation to support the organization’s overarching goals for quality improvement.
Post on or before Day 3 a brief description of the evaluation tool that you selected. Explain the benefits of applying this tool as part of your quality improvement plan in the Course Project. Also explain how you could use the results from the evaluation to support the organization’s overarching goals for quality improvement.
PROJECT: Course Project: Promoting Health Care Quality
Section 5: Evaluation Plan
With the recognition of the bidirectional link between quality and finance in a healthcare organization, it follows that any changes to one can have an echo in the other. To determine the net result of a change in overall performance status of the organization, one must determine the point where the results of echoes will reach equilibrium.

—Sadeghi, Barzi, Mikhail, & Shabot, 2013

This week you have been examining evaluation tools and how they can be used as part of a plan to promote quality and safety. As you develop an evaluation plan for your Course Project, consider the insights you have gained through your analysis of your selected organization, as well as the highly regulated and competitive health care environment.
To prepare:
· Review the information on evaluation, including data representation and quality monitoring, presented in the Learning Resources.
· Review your work on the Course Project thus far, particularly Sections 3 and 4.
· Think about how your quality improvement initiative could be evaluated. Consider the following:
o Which stakeholders need information related to this initiative? What do they need this information for?
o How would you assess the outcomes in the short-term and long-term?
o How would you analyze related processes, including but not limited to the one you redesigned in Section 4?
o How should an analysis of organizational structures be integrated into your evaluation?
o How would you identify and evaluate any unintended consequences that may arise?
o What metrics should the organization use to gauge progress and the effectiveness of the quality improvement initiative? How would these metrics incorporate the measures and indicators that you identified in Section 3? Are there additional measures and indicators that you now think should be included?
o How should the organization track and display data for an interdisciplinary audience? How could the use of a dashboard or balanced scorecard be of value?
o How could the organization create an integrated view of performance that links finance and quality?
To complete:
Develop a 2- to 3-page evaluation plan that includes the following:
· An outline of the methods that you would propose for evaluating the quality improvement initiative and the financial implications
· A description of specific metrics that integrate your previously identified measures and indicators and any others that you have deemed important
· A recommendation of how the organization could represent data related to this quality improvement issue for ongoing monitoring and to determine the value or success of the initiative
· An explanation of how the organization could create an integrated view of performance that links finance and quality
This Assignment is due by Day 7 of Week 10.
Section 6: Quality Improvement Action Plan
An organization’s ability to learn, and translate that learning into action rapidly is the ultimate competitive advantage.

—Jack Welch as quoted by Kerrigan
Think back to when you first identified the quality improvement issue for your Course Project. What insights related to quality measurement, improvement strategies, and evaluation have you gained since then? How have these insights informed your view of the issue and shaped your understanding of how to promote positive outcomes for your selected organization? How would you suggest the organization proceed based on the outcomes of your investigation?
In this section of the Course Project, you synthesize your analysis and recommendations into an action plan for implementing the quality improvement initiative.
To prepare:
· Begin to develop a plan for implementing your quality improvement initiative, including the redesigned process that you identified in Section 3. Consider the following:
o How would you undertake the process of determining a timeline for planning, implementing, and evaluating this quality improvement plan?
o What are some reasonable milestones for this initiative? What are the daily, weekly, monthly steps/goals?
To complete:
· Write a 2- to 3-page summary of your quality improvement action plan.
This Assignment is due by Day 7 of Week 10.
REMINDER: Course Project: Promoting Health Care Quality
Sections 5 and 6 of your Course Project are due next week. There are two project areas in Week 10 and both sections are due by Day 7, so be sure to check both the Week 10 Project 1 and Week 10 Project 2 areas for further instructions and to submit your project assignments on time.
WEEK 10:
Evaluating Interdisciplinary Collaboration Skills

The achievements of an organization are the results of the combined effort of each individual.

—Vince Lombardi

Collaboration is a critical component of quality improvement. It is also a central tenet of your endeavors as a scholar-practitioner in this Walden University Master’s program. To succeed in your role as a nurse leader-manager, it is important to engage in ongoing development of collaborative skills and to help foster a culture that values collaboration.
In Weeks 1 and 2 of this course, you analyzed your strengths and considered how to leverage these strengths for effective leadership. In a similar vein, this week you evaluate your strengths and areas for growth with regard to interdisciplinary collaboration.
To prepare:
· Review the competencies described in the Interprofessional Education Collaborative report and in Chapter 9 of the Hickey and Brosnan text.
· As you reflect on the competency statements outlined for each domain, think about which ones reflect your strengths. Which competency statements point to areas for growth?
· Consider the benefit of working with interdisciplinary teams for addressing quality improvement initiatives.
· Conduct a search of the literature and select at least one article that illustrates the benefits of interprofessional collaboration for nurse leader-managers as it relates to improving quality.
Note: Think about a potential connection between the concepts presented throughout this course (i.e. systems-level change, quality, etc.), and a Practicum Project that you might focus on in NURS 6600. Consider how you might use interprofessional collaboration in your practicum setting.
Post on or before Day 3 an analysis of your strengths and areas for growth related to interprofessional collaboration competencies. Explain the benefits of interprofessional collaboration for meeting quality improvement goals. Support your response with examples from current literature.
PROJECT 1: Section 5: Evaluation Plan

Review the complete Assignment description presented in Week 9. Submit Section 5 by Day 7.
PROJECT 2: Section 6: Quality Improvement Action Plan

Review the complete Assignment description presented in Week 9. Submit Section 6 by Day 7.
WEEK 11:
DISCUSSION: Spreading Innovation
An organization may be generally amenable to innovations but not ready or willing to assimilate a particular [Evidence-Based Practice] EBP …If there is tension around specific work or clinical issues and staff perceive that the situation is intolerable, a potential EBP is likely to be assimilated if it can successfully address the issues and thereby reduce the tension.

—Titler, 2010

Adoption of evidence-based innovations in nursing practice is a critical facet of promoting quality and safety. As a nurse leader-manager, you play a pivotal role in evaluating these innovations and promoting those that will positively impact outcomes.
To prepare:
· Review the information on diffusion of innovation presented in the Learning Resources.
· Visit the Agency for Healthcare Research and Qualities’ Innovation Exchange website (listed in the Learning Resources). Click on “Innovations & Quality Tools” or “Browse by Subject” then read through a selection of descriptions of innovations.
· Evaluate how each of these innovations addresses a problem, and determine if you could integrate the innovation (or a similar one) into your organization or one with which you are familiar.
· Select one of the innovations on which to focus for this Discussion. Think about how you might introduce this innovation in your selected organization, and strategies that you might use to facilitate communication and engagement needed to sustain the innovation.
Post on or before Day 3 a detailed review of one innovation that you found of particular interest on the AHRQ Innovation Exchange. Explain the problem being addressed, the innovation, and the outcomes and how you might introduce a similar innovation in your organization or one with which you are familiar. Outline strategies you would employ to sustain the innovation.

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