Expert answer:Managing a Quality Improvement Initiative

Solved by verified expert:In this assignment, you will take on the role of Quality Improvement Manager at Rasmussen Hospital. You have learned that there may be an increase in the number of patients with a nosocomial infection and the hospital would like to the rates to stay below 2%.The Chief Medical Officer (CMO) has provided you with the Quality Improvement Initiative Worksheet below. The worksheet contains 2 years of data regarding Patient Infections and Discharges as well as detailed instructions for each of the parts highlighted below:Part 1: Compute the monthly nosocomial infection rates and provide two bar graphs depicting the infection rate for each month for the past 2 years. Then analyze the graphs and indicate data trends.Part 2: Explain which hospital employees should be on the Performance Improvement (PI) Team.Part 3: Address teamwork issues on the Performance Improvement (PI) Team.Download the Quality Improvement Initiative Worksheet, complete the 3 parts, then save your completed worksheet.
assignment_quality_improvement_initiative_worksheet.docx

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Module 03 Written Assignment – Managing a Quality Improvement
Initiative
As the Quality Improvement Manager, you have learned that there may be an increase in the number of
patients with a nosocomial infection. The hospital would like to stay below 2% for nosocomial infection rates.
Part 1:
The Chief Medical Officer (CMO) has provided you with the data tables below:
Year 1
Infections
Jan
19
Feb
32
Mar
10
Apr
3
May
5
June
19
July
21
Aug
12
Sept
3
Oct
7
Nov
10
Dec
22
Discharges
345
350
333
310
347
362
301
297
303
288
290
365
Year 2
Infections
Jan
12
Feb
10
Mar
5
Apr
9
May
17
June
21
July
2
Aug
11
Sept
8
Oct
3
Nov
7
Dec
10
Discharges
361
245
259
232
323
345
321
301
299
233
300
288
The CMO would like you to use this data to do the following:
A. Compute the monthly nosocomial infection rates and provide 2 bar graphs depicting the infection rate
for each month for the past 2 years.
o Compute the infection rates and include them in the table below for each year.
Years
Year 1
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Year 2
o
Complete the graphs in Excel and copy and paste your bar graphs below.
B. Provide an analysis of the bar graphs you created (pasted above) and indicate data trends. What is your
analysis of the graphs for both years? How is the data trending? Are the infection rates below 2%?
Part 2:
Now that you have determined that a quality improvement initiative exists with the nosocomial infection rate,
what hospital employees would you pull together to form a Performance Improvement (PI) Team? Explain why
you chose each employee.
Part 3:
The quality improvement initiative has been underway for a few weeks. However, two of your PI Team members
have not been getting along and it is affecting the entire group. As the PI Team Leader, how would you address
the two PI Team members and encourage them to work together?

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