HEAL 222
QUALITY IN HEALTH CARE
Required Assignments

1. Web-based discussions (30 points)

Students are expected to contribute to web-based discussions. Weekly participation is required. A discussion topic will be introduced in each biweekly class. During the first week of discussion, all students will contribute at least once to the ongoing discussion. The instructor will review the discussion content by the end of the first week and will refocus or pose additional questions on the same topic for chat room discussion. Each student is also expected to contribute to the discussion in the second week. Students are expected to read both recommended and additional reading in preparation for chat room discussions. Each student's input should build on prior discussion and should include materials from readings and professional experiences. The chat room discussions should be scholarly. You should include references to support you positions. References can include readings as well as references to internet sites that you have found helpful.

Grading will be on the following basis: (5 points for each of 6 discussion topics)

5 points: will be awarded for substantial contribution to the discussion with contribution of insights from readings ( including referenced from recommended and additional readings)and professional experience. The student reflects on and enhances discussion throiugh responses to prior discussants. Participation in each of the two weeks of the discussion.

4 points: will be awarded for insightful contributions that support the discussion from recommended readings and professional experience. The student reflects on and enhances discussion throiugh responses to prior discussants. Participation in each of the two weeks of the discussion.

3 points: will be awarded when there is a scholarly contributions (with references) in one of the two weeks only. Contributions in the second week are non-referenced or relate only to proferssional experiences.

2 points: will be awarded for contributions to the discussion that includes professional experiences but no references to readings. Participation in each of the two weeks of the discussion.

1 point: will be awarded when participation occurs in only one week of the discussion.

 

2. Editorial Opinion (20 points)

You are the 'editor' of a journal on health care quality. Write an editorial opinion (5-6 pages) on one of the following topics. Your editorial must be adequately referenced to support the development of your position. After you have submitted your paper, post the file in the assigned chat room. Then comment on the opinions of the others who wrote on your topic. If no-one else wrote on your topic, you may choose another chat room in which to read the papers and comment on their content.

a. The similarities and differences in philosophic underpinnings and principles of quality and managed care.

b. The relationship between quality and cost containment in health care.

c. The outcomes mandate: Quality by a different name or a new revolution in health care?.

d. Quality as a professional imperative and quality as an organizational imperative: In sychrony or in conflict?

Grading criteria:

Adequate review and synthesis of relevant lterature (8 points)

Development, logic, and coherence of the position taken. (8 points)

Writing style, grammar, spelling, APA (4 points)

Commentary on other papers on the selected topic. (5 points)

 

3. Choose from one of the following two projects (50 points)

A. Outcomes Management Project Proposal

Identify population to be managed within a real or imaginary health care organization. Identify why there is a need to manage outcomes of the selected population related to organizational goals and internal and external benchmarks. Include in the proposal:

a. how you will determine the need for outcomes management of the selected population including internal and external benchmarks. Identify the strategic need for this project. Include external benchmark data in your proposal. (5 points)

b. an organizational design/process for development, implementation,and evaluation of the Outcomes Management project (5 points)

c. quality theorists and/or theoretical framework(s) that will be used to guide the development of a successful outcomes process. (5 points)

d. targeted outcomes (clinical/health status, process, financial, satisfaction) to be achieved in this project. Describe how you would select and/or develop the outcome indicators and how you will measure and collect data needed to evaluate outcomes. (15 points)

e. operational strategies and tools for implementing your outcomes management program. Provide evidence-based best practice recommendations obtained from the literature. How will this project integrate within and across organizational entities(15 points).

f. describe the link between your outcomes management project and quality structures and processes within the organization. (5 points)

B. Continuous Quality Improvement Project Proposal

Identify a need for continuous quality improvement within a real or imaginary health care organization. Identify why there is a need for improvement related to organizational goals and internal and external benchmarks. Include in the proposal:

a. how you will determine the need for improvement including internal and external benchmarks. Include external benchmarks in your proposal. (5 points)

b. an organizational design for participation in the CQI process (5 points)

c. quality theorists and/or theoretical framework(s) that will be used to guide the development of a successful CQI process. (5 points)

d. assessments that need to be made to identify the nature and scope of the quality problem. Include tools you would use. Complete the tools with the help of the literature and professional contacts. (10 points)

e. evidence-based recommendations for changes in processes that may be used in achieving the improvement (10 points)

f. quality and cost indicators that will be used to monitor the improvement over time. (5 points)

g. plans for implementation of the improvement (5 points)

h. plans for communicating the results of the project. (2 points)

i. plans for maintaining the improvement. (3 points)

The proposal should be written in APA format and be no more than 20 pages.

It is expected that the proposal will include extensive referencing and will be written in APA format. An Executive Summary should be including instead of an abstract. Up to 5 points will be deducted for APA, spelling, and grammatical errors.

 

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