Standards Addressing Laboratory Deficiencies Action Plan

Standards Addressing Laboratory Deficiencies Action Plan

Instructions

Preparing a plan for action for improvement is as important as executing the plan. In this assessment, review hospital survey data and prepare a plan of action to positively move forward.

Evaluation Title: Action Plan

Assume the role of the manager of the QI Department in a hospital. Recently, the Healthcare Facilities Accreditation Program (HFAP) conducted a survey on the hospital. The survey results have been made available.

Instructions:

• Open and review the pdf of survey results entitled, “Mastering the Standards for Survey Success: The 2018 HFAP Quality Review (Links to an external site.).”
  • Open and review the pdf of survey results entitled, “HFAP Top Cited Standard level Deficiencies of 2012.”
• Identify three standards that were cited.
• Create an action plan for each citation. The action plan should include:
  • The standard with expectations
  • A timeline for implementation
  • Details as to how the hospital can reduce this issue so when the organization comes through for a recheck in 3 months, the citation will be eliminated.
• Complete additional research on this topic, utilizing a minimum of 4 sources support ideas presented.

Reference:

• Mastering the standards for survey success: The 2018 HFAP quality review. (2018). Retrieved from https://www.hfap.org/wp-content/uploads/2019/07/2018_HFAP_Quality_Report.pdf (Links to an external site.)

Estimated time to complete: 3 hours

Rubric

HC433 Unit 4 Assignment – Action Plan

HC433 Unit 4 Assignment – Action Plan

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeContent

20.0 pts

Level 5

Demonstrates the ability to construct a clear and insightful problem statement/thesis statement/topic statement with evidence of all relevant contextual factors.

18.0 pts

Level 4

Demonstrates the ability to construct a problem statement, thesis statement/topic statement with evidence of most relevant contextual factors, and problem statement is adequately detailed.

16.0 pts

Level 3

Begins to demonstrate the ability to construct a problem statement/thesis statement/topic statement with evidence of most relevant contextual factors, but problem statement is superficial.

14.0 pts

Level 2

Demonstrates a limited ability in identifying a problem statement/thesis statement/topic statement or related contextual factors.

12.0 pts

Level 1

Demonstrates the ability to explain contextual factors but does not provide a defined statement.

0.0 pts

Level 0

There is no evidence of a defined statement.

20.0 pts

This criterion is linked to a Learning OutcomeAnalysisPRICE-P

20.0 pts

Level 5

Organizes and compares evidence to reveal insightful patterns, differences, or similarities related to focus.

18.0 pts

Level 4

Organizes and interprets evidence to reveal patterns, differences, or similarities related to focus.

16.0 pts

Level 3

Organizes and describes evidence according to patterns, differences, or similarities related to focus.

14.0 pts

Level 2

Organizes evidence, but the organization is not effective in revealing patterns, differences, or similarities.

12.0 pts

Level 1

Describes evidence, but it is not organized and/or is unrelated to focus.

0.0 pts

Level 0

Lists evidence, but it is not organized and/or is unrelated to focus.

20.0 pts

This criterion is linked to a Learning OutcomeWriting

5.0 pts

Level 5

The paper exhibits an excellent command of written English language conventions. The paper has no errors in mechanics, grammar, or spelling.

4.5 pts

Level 4

The paper exhibits a good command of written English language conventions. The paper has no errors in mechanics or spelling with minor grammatical errors that impair the flow of communication.

4.0 pts

Level 3

The paper exhibits a basic command of written English language conventions. The paper has minor errors in mechanics, grammar, or spelling that impact the flow of communication.

3.5 pts

Level 2

The paper exhibits a limited command of written English language conventions. The paper has frequent errors in mechanics, grammar, or spelling that impede the flow of communication.

3.0 pts

Level 1

The paper exhibits little command of written English language conventions. The paper has errors in mechanics, grammar, or spelling that cause the reader to stop and reread parts of the writing to discern meaning.

0.0 pts

Level 0

The paper does not demonstrate command of written English language conventions. The paper has multiple errors in mechanics, grammar, or spelling that cause the reader difficulty in discerning the meaning.

5.0 pts

This criterion is linked to a Learning OutcomeAPAPRICE-I

5.0 pts

Level 5

The required APA elements are all included with correct formatting, including in-text citations and references.

4.5 pts

Level 4

The required APA elements are all included with minor formatting errors, including in-text citations and references.

4.0 pts

Level 3

The required APA elements are all included with multiple formatting errors, including in-text citations and references.

3.5 pts

Level 2

The required APA elements are not all included and/or there are major formatting errors, including in-text citations and references.

3.0 pts

Level 1

Several APA elements are missing. The errors in formatting demonstrate a limited understanding of APA guidelines, in-text-citations, and references.

0.0 pts

Level 0

There is little to no evidence of APA formatting and/or there are no in-text citations and/or references.