Impact of post discharge follow-up within 30 days


Business Case for Quality Presentation PROBLEM:​ Impact of post discharge follow-up after hospital admission.
INTERVENTION: Set up automatic virtual phone/video visit within 30days post discharge with a specially trained nurse to Performa a focused assessment of the previous hospital stays.
COMPARISION: Currently there still remains a communication gap between providers and the patient at the time of discharge along with the failure to follow up. Those often trend in repeated preventable readmission with the 30-day period after discharge. However, this could be supported by a nurse follow-up call, reviewing the discharge plan with the patient. listening and providing education regarding the patient’s disease process.
OUTCOMES: ​Implement a thirty-day discharge follow-up virtual call can reduce hospital readmissions and reduce cost associated with exacerbations and lengthy

​In the United States over fifteen to twenty five percent of people discharged from a hospital will be readmitted within 30 days or less The cost of unplanned readmissions cost fifteen twenty billion annually (Alper et al., 2021). Follow up care after discharge is an important process in improving patient outcomes. Follow-up care can determine for a successful recovery. As a healthcare use more business practices it must employ the same engagement strategies to satisfies it consumers. It is the Veteran’s administration pledge to provide, quality care and outstanding customer service, support education initiatives, and support researched outcomes. The VA’s core chart eristics supports new development to prove outcomes through research based sustainable practices and technology and recommends and embraces opportunities to improve outcomes in veteran’s care. Within the VA there are multiple platforms to provide state of the art veteran care, with telehealth and virtual technology introduced as an enhancement to decrease wait times and readmission rates and to be cost effective to the consumer.
​Post discharge follow-up will allow communication of early observations of a potential problem. A virtual telehealth visit will improve outcomes within thirty days, increase customer satisfaction, and reduce cost that could be associated with readmission. The follow-up visit will highly impact post discharge . Thus, reducing the possibility of readmission within the 30day discharge time.

Simple Instructions

Business Case for Quality: Instructions The business components of leading a quality improvement project. Healthcare is, in fact, a business, and to continue to positively affect client outcomes, the care provided must be sustainable financially.

For this assignment you will be presenting on a problem in the institution where you work or at an institution where you are precepting or plan to work. Ultimately, this assignment builds a case for why change is needed and why administration should accept your proposed solution. It needs to be well researched and thorough
Introduction.
1. Introduce your business case idea. Briefly state the purpose of the project and its relevance. Identify the organization’s mission and/or vision statements. Describe how your project is in alignment with the organization’s priorities.
Step 3. Problem Identification. Describe the opportunity for improvement or the patient care problem that needs to be solved in more detail.
Discuss the identified causes of this problem (eg, staffing,inefficient processes, suboptimal equipment or policies) and the impact of this problem on your organization, staff, and clients (eg, suboptimal outcomes, wasted materials, prolonged stays or readmissions, burnout).
Conclude this section with organizational-specific data that supports the existence and impact of the problem. This must include an estimated incidence and cost of the problem. Other relevant monetary figures, percentages, and statistics should be included as appropriate.
Step 4. Evidence-Based Solution. Identify your chosen evidence-based solution to the above problem.
Describe how it solves the identified problem, and summarize current (last 5 years) research data supporting the effectiveness of this solution for your problem. This may include information from research studies, clinical practice guidelines, and peer-reviewed articles. Conclude this section by applying figures from the evidence to the incidence and cost that were identified in the previous section and calculating
A. how much can this solution reduce the incidence of the problem.
B. how much money could be saved as a result.

Step 5: Step 6: Step 7: Market Analysis.
Present a completed SWOT analysis and discuss the relevant findings. You may format this as you see fit. Each component must be included and addressed.
See the required resource on completing a SWOT analysis for a healthcare organization. This resource poses questions that help you identify the strengths, weaknesses, opportunities, and threats affecting your project. You know your organization better than anyone; don’t be afraid to think outside the box. Implementation Planning.
Present a completed work breakdown structure (WBS)diagram that addresses each of the following: A. What tasks need to be done? B. Who is responsible for the above tasks? C. How long will each task take to complete? D. What material, supplies, and equipment are needed? Tasks should be presented in sequential order and consider the steps needed from approval to complete implementation (“go live”). Consider the need for project teams, committees, interdisciplinary work, policy creation/revision, physical space and materials, technology, and staff education, for example.
Discuss the details of your WBS. Budget Planning. Present a completed budget table with line items that address each of the following:
A.name of expense B. cost for each unit C. total number of units needed D. total cost for each expense Your WBS will give you what you need to complete this well if it is also completed well. Your budget consists of the labor and physical costs of the tasks and subtasks identified in your WBS. Examples include the cost to educate staff, the time of your implementation team, care and technology equipment, salaries and recruitment costs if hiring staff, physical space, etc., as applicable. Use real figures. Articles, organizational employees, and web searches may be needed. The table should be organized so that it is easy to see how you arrived at the figures. Place the total cost of the project at the bottom of the table. Discuss the development of your budget.
Step 8: Evaluation. A evaluation plan must be created to measure success. The evaluation has to address both quality measures (patient outcomes) and financial measures (return on investment).
A .Quality Measures. Identify and discuss the (a) outcome, (b) process, and (c)structure measures of your project. First, identify the outcome measures (goals/benchmarks/metrics) that you intend to achieve. Then identify your goals for process measures (or what observations in care delivery would signify staff compliance with your plans). Lastly, identify the structure measures that promote the success of your project and any weaknesses in structure that need to be addressed. Clearly discuss which measures you consider to be your outcome, process, and structure measures. Outcome and process measures must be measurable. Review your Required Resources for further assistance .
B. Return on Investment (ROI). Using a one (1) year time frame, demonstrate how your project is cost saving or revenue generating by calculating an ROI. Use the incidence and cost figures from Steps 3 and 4 and the total cost to implement your project from your budget in Step 7to fill in the ROI formula. Explain your work by briefly comparing the cost of the current situation to the cost of the new plan how much money would be gained or saved by implementing your plan, and how or where those cost will be recouped (eg, decreased length of stay). See ROI assistance in Required Resources. Dissemination. The last step in the QI process is not just evaluating your results but sharing your project, experience, and results with others. Discuss the importance of disseminating QI results. Outline the dissemination plans for your project by identifying(a) the purpose of your dissemination, (b) the message that will be at the center of your dissemination, (c) the audience you will be presenting this to, (d) the method of dissemination, and (e) when this would best take place and why.
Step 9: Additional Notes:•The presentation should not exceed 15 slides and 20 minutes in duration.• There should be a title and reference slide. References should be in APA format. These two slides are excluded from your limit.
• The assignment should have a minimum of 10 scholarly references. References should be timely: published within the previous five (5) years. • Technical assistance is provided in the course. •See Do’s and Don’ts ‘s of presenting a PowerPoint in the course. Submission Instructions: This assignment is to be submitted as a video presentation to the designated discussion space and should include your PowerPoint slides and your voice. There is no Turnitin requirement for this assignment.

RUBIC
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome Introduction
1. Introduction of business case proposal, includes purpose and relevance.
2. Organization mission and/or vision statements identified.
3. Discussion of project alignment included.
2 to >1.5 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. Content includes a clearly identified problem, the required mission and/or vision statements, and discussion of project alignment. Project alignment is clearly articulated and thoughtful in its connection to the organization’s priorities.




2 pts
This criterion is linked to a Learning Outcome Problem Identification
1. Describes the chosen organizational problem.
2. Includes causes, impact, incidence, and cost of the chosen problem.
3. Section supported with relevant facts and figures as applicable.
4 to >3.0 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. Content includes a thorough and clearly articulated (a) summary of the problem, (b) the organizational practices and characteristics that are contributing to the problem, and (c) the incidence of the issue at the facility of interest. The incidence should be accompanied by the cost of this problem for the facility and an explanation for what those costs are made up of.




4 pts
This criterion is linked to a Learning Outcome Evidence-Based Solution
1. Identifies the proposed evidence-based solution.
2. Summarizes the research supporting the effectiveness of the chosen EBP solution.
2. Applies data from the above to the incidence and cost identified in the problem section.
4 to >3.0 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. The evidence-based solution to the problem is identified and supported with a summary/synthesis of the research supporting its effectiveness. The section includes evidence regarding the cost-saving and/or revenue-generating ability of the solution. The student clearly articulates the change in incidence and cost of the problem expected following implementation of the solution.




4 pts
This criterion is linked to a Learning Outcome Market Analysis
1. Complete SWOT analysis presented and discussed.
2 to >1.5 pts
Fully Met
The information is thoughtful and fully addresses the required elements and demonstrates understanding of the material. A completed SWOT analysis is presented and addresses strengths, weaknesses, opportunities, and threats that are relevant to the business case topic. SWOT components address organizational, unit or office, and human resource characteristics that affect the success of the project’s implementation in some way.




2 pts
This criterion is linked to a Learning Outcome Implementation Planning (WBS)
1. A WBS that is completed at least through Level III is presented.
2. Student discusses all four requirements from instructions (tasks needed; responsible parties; completion time; and material, supplies, and equipment needed). This includes Level IV information that may not fit on slide.
3. Student considers major tasks needed from approval to “go live.”
5 to >3.75 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. The presentation includes a WBS that is completed to the level required and a summary discussion of the tasks/subtasks needed; responsible parties; completion time; and material, supplies, and equipment needed for each major (Level II) task. No major tasks from approval to “go live” are missing.




5 pts
This criterion is linked to a Learning Outcome Budget Planning
1. Presents and explains line-item table of estimated project costs.
2. Includes each expense, the quantity needed, the cost per item, the total cost for each expense, and the total cost of the project.
3. The budget is congruent with the WBS.
4 to >3.0 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. The budget is presented as a table that includes each expense, the quantity needed, the cost per item, the total cost for each expense, and the total cost of the project. The budget is congruent with the WBS. The student considered the cost of human and physical resources.




4 pts
This criterion is linked to a Learning Outcome Evaluation (Metrics and ROI)
1. Outcome, process, and structure measures are presented, correctly identified, and measurable.
2. Return on investment is calculated and work is explained.
4 to >3.0 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. The evaluation component addresses and correctly identifies each required measure. Outcome and process measures are measurable. The ROI discussion includes a correct calculation and explanation as outlined in the instructions. Work for calculations are clear.




4 pts
This criterion is linked to a Learning Outcome Dissemination
1. Discussion of the importance of QI dissemination.
2. Plans for dissemination described and include the purpose, message, audience, method, and time.
2 to >1.5 pts
Fully Met
The information fully addresses the required elements and demonstrates understanding of the material. The student clearly articulates the importance of QI dissemination. Plans for dissemination are appropriate and complete, including the purpose message, audience, method, and timing.




2 pts
This criterion is linked to a Learning Outcome Scholarship
1. Scholarly writing skills and APA format as applicable. Additional deductions for scholarship may occur up to 20%.
2. Late deductions will be applied as outlined in the syllabus.
3. Plagiarism, accidental or otherwise, can also result in deductions up to and beyond the 20% as well as the initiation of academic misconduct proceedings as outlined in the Lowdown. This includes submitting work previously submitted to other courses or to this course in another semester.
4. Direct quotes outside of providing key definitions are discouraged.
1.5 pts
Proficient
The student’s application of graduate level critical thinking, writing skills, and application of APA format are exemplary. (See Mastery Content section in APA Quick Guide for an idea of where to start.)




1.5 pts
This criterion is linked to a Learning Outcome Presentation Skills
1. The presentation reflects mastery of content and adherence to guidelines regarding PowerPoint development, presentation skills, and technical requirements. This includes qualities such as professional but conversational style, not reading from the slides, balanced use of text and audiovisual content, appropriate color design, and working audio.

2. Slide organization is aligned with grading rubric. Student displays organization of thought.

3. The presentation does not exceed 15 slides and 20 minutes in duration, excluding the title and reference slides.
1.5 pts
Fully Met
Student fully follows technical directions and demonstrates competency in presentation and PowerPoint development skills. Slides are organized accordingly, and the presentation does not exceed the slide or length limit.

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