As a nurse leader, you may be called upon to submit a detailed report to your executive leadership team and key
stakeholders that describes a quality or safety problem and its effects on outcomes, fully supported by relevant and
credible data.
This assessment provides an opportunity to draft such a report in which you can call attention to quality and safety
issues and opportunities, effectively support your position, and lay out a plan for change.
This assessment is based on the executive summary you prepared in the previous assessment.
Preparation
Your executive summary captured the attention and interest of the executive leadership team, who have asked you
to provide them with a detailed report addressing outcome measures and performance issues or opportunities,
including a strategy for ensuring that all aspects of patient care are measured.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your
understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them
with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that
these questions are for your own development and exploration and do not need to be completed or submitted as
part of your assessment.
How might you engage stakeholders to help develop, implement, and sustain a vision to actually change and
improve patient outcomes?
What arguments might be most effective in obtaining agreement and support?
What recommendations would you make to implement a proposed plan for change?
The following resources are required to complete the assessment.
APA Style Paper Tutorial [DOCX]. Use this for your report.
Requirements
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Note: The requirements outlined below correspond to the grading criteria in the Outcome Measures, Issues, and
Opportunities Scoring Guide. Be sure that your written analysis addresses each point, at a minimum. You may also
want to read the Outcome Measures, Issues, and Opportunities Scoring Guide and Guiding Questions: Outcome
Measures, Issues, and Opportunities [DOCX] to better understand how each criterion will be assessed.
Drafting the Report
Analyze organizational functions, processes, and behaviors in high-performing health care organizations or
practice settings.
Determine how organizational functions, processes, and behaviors affect outcome measures associated with
the systemic problem identified in your gap analysis.
Identify the quality and safety outcomes and associated measures relevant to the performance gap you
intend to close. Create a spreadsheet showing the outcome measures.
Identify performance issues or opportunities associated with particular organizational functions, processes,
and behaviors and the quality and safety outcomes they affect.
Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured
and that knowledge is shared with the staff.
