Potential outcomes from the implementation of your project plan

PART1
You should be thinking about the potential outcomes from the implementation of your project plan. What are those potential outcomes, and how could they be measured?
Directions
The assignment will be structured in a presentation format, with in-text and reference citations formatted consistently according to 7th edition APA guidelines.
The presentation needs to include the following:
• Slide 1- Title slide
• Slide 2- The Problem Statement and the Aim Statement from your Unit 3 paper assignment.
• Slide 3- An overview of the strategy/intervention that you selected to address the problem from your Unit 5 assignment
• Slide 4 - A brief overview of the anticipated/desired outcomes of your selected strategy/intervention, expanding on what you have identified in your Aim Statement
• Slide 5- An overview of the evaluation measure(s) you will utilize to determine if your selected strategy/intervention was effective.
o Below are some examples of types of measures you may wish to approach or describe how you would evaluate the intervention:
 A structure evaluation, which includes the characteristics of the setting where care occurs – the infrastructure, staffing, and policies in place (i.e., nurse-to-patient ratio).
 A process evaluation refers to the actions or steps taken to provide care, including what is done during delivery (i.e., timely sepsis treatment).
 An outcome evaluation is the result of care delivered – changes in patient health or behavior (i.e., 30-day readmissions rates).
 Patient-Reported Outcome Measures (PROMs) are reports directly from patients about their health status, symptoms, or quality of life (i.e., PROMIS Global Health).
 Patient-Reported Experience Measures (PREMs) are reports from patients about their experience with care – communication, respect, and accessibility (i.e., HCAHPS, CAHPS, and Press Ganey)
 A direct measure captures observable evidence of knowledge, behavior, or performance – actual outcomes or actions (i.e., reduction in hospital-acquired infections after implementing a new protocol).
 An indirect measure reflects perceptions, satisfaction, or confidence and does not directly measure the activity or outcome itself (i.e., staff survey on perceived confidence using a new triage tool)
 NOTE: Advanced graduate-level scholarship requires a well-articulated and in-depth overview of the identified measure(s). Consider utilizing the 'Notes' section of the slide if needed to provide additional details.
 NOTE: Be sure to support your discussion of your identified processes with scholarly resources that will be used in your Unit 6 Matrix #11-15.
• Slide 6- Provide an overview of the type of information/data you will need to collect and utilize in the evaluation process.
o NOTE: Advanced graduate-level scholarship requires a well-articulated and in-depth overview of the information/data that will need to be collected/utilized; consider utilizing the 'Notes' section of the slide if needed to provide additional details
o NOTE: Be sure to support your discussion of information/data with scholarly resources.
• Slides 7 and 8- Describe a minimum of two approaches you will utilize to gather the information/data required for evaluating the effect of the strategy/intervention.
o NOTE: Advanced graduate-level scholarship requires a well-articulated and in-depth overview of the approaches that you plan to utilize; consider utilizing the 'Notes' section of the slide if needed to provide additional details
o NOTE: Be sure to support your selected evaluation measure(s) and approaches with scholarly resources.
• Slide 9- Reference citations list

Aim Statement: To reduce the facility's CLABSI rate by 50% within a six-month period by implementing a standardized, evidence-based Central Line Bundle protocol across all inpatient units.

Slide 3: Overview of the Strategy/Intervention

The selected intervention is the implementation of a Central Line Bundle, a set of evidence-based practices that, when performed collectively, significantly reduce the risk of CLABSI. This is not a new concept, but its successful implementation hinges on strict, consistent adherence. The intervention's core components include:

Hand Hygiene: Strict adherence to hand hygiene before and after all central line-related procedures.

Maximal Barrier Precautions: Use of a sterile full-body drape, sterile gloves, gown, mask, and cap during central line insertion.

Chlorhexidine Skin Antisepsis: Preparing the patient's skin with a chlorhexidine gluconate antiseptic before insertion.

Optimal Catheter Site Selection: Avoiding the femoral site in adult patients due to a higher risk of infection.

Daily Review of Line Necessity: Daily assessment to determine if the central line is still necessary and to remove it as soon as possible.

Slide 4: Anticipated/Desired Outcomes

The successful implementation of the Central Line Bundle is anticipated to yield a range of positive outcomes that expand upon the initial Aim Statement.

Clinical Outcomes: The primary desired outcome is a significant reduction in the CLABSI rate, directly leading to a decrease in patient mortality and morbidity. This would also result in fewer patients experiencing sepsis, prolonged illness, and the need for additional treatments.

Financial Outcomes: A reduction in CLABSI events would lead to substantial cost savings. This includes reduced costs associated with extended patient hospital stays, expensive antibiotic regimens, and the management of complications.

Operational Outcomes: The intervention is expected to foster a stronger culture of patient safety, improve staff-wide adherence to best practices, and enhance interdisciplinary communication regarding central line care. This contributes to overall quality improvement and a more efficient healthcare environment.

Slide 5: Evaluation Measures

To determine the effectiveness of the intervention, we will utilize a combination of direct and indirect evaluation measures, drawing upon established quality improvement frameworks.

Direct Measure (Outcome Evaluation):

We will use the CLABSI rate as the primary outcome measure. This is a direct measure of the intervention's success, calculated as the number of CLABSI events per 1,000 central line days. This metric is a standardized measure used by the CDC and allows for comparison to national benchmarks (CDC, 2023). A reduction in this rate directly indicates a positive change in patient health outcomes.

Sample Answer

Slide 1: Title Slide

Anticipated Outcomes and Evaluation of a Healthcare Quality Improvement Project

[Project Title: A Central Line-Associated Bloodstream Infection (CLABSI) Reduction Initiative]

[Your Name] [Your Affiliation] [Date]

Slide 2: Problem & Aim Statement

Problem Statement: [Your Facility Name] has experienced a consistent increase in its Central Line-Associated Bloodstream Infection (CLABSI) rate over the past two quarters, with the current rate exceeding the national benchmark as reported by the Centers for Disease Control and Prevention (CDC). This trend has led to increased patient morbidity, prolonged hospital stays, and elevated healthcare costs.