Task 1, C161 Principles of Organizational Performance Management 3-22-19.pdf

Task 1, C161 Principles of Organizational Performance Management 3-22-19.pdf

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Principles of Organizational Performance Management Task 1 - Performance Data Scorecard Melanie Troxell, BSN, BA, RN-BC Western Governors University March 22, 2019
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Principles of Organizational Performance Management Performance Data Scorecard Example Regional Hospital (ERH) is a 230 bed acute care hospital in a semi-rural Southeastern town with a population of just over 35,000 people, but that serves a much larger area of not only the local county but neighboring counties in 2 states, as well. It is served by nearly 250 physicians and more than 1,300 staff members. It is a nationally recognized adult cardiac care center with Joint Commission certifications in eight disease-specific areas, including orthopedic and vascular surgery, stroke and cardiology. Chosen Population The third floor specializes in cardiac and vascular issues, as well as cardiac device placement and other heart-specific procedures, but the patient population being addressed in this paper is specifically the congestive heart failure patients on this floor. Outcome Measures Related to this Population Outcome Measure Drivers Performance Reduce congestive heart failure 30 day readmissions - Current monitoring (echocardiogram or similar) of patient ejection fraction - Post-discharge appointment for patients - Evidence-based beta blocker for all heart failure patients - ACE Inhibitor or ARB therapy for left ventricular systolic dysfunction patients - Video, written, and verbal education for patients Indicator Page 2
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Principles of Organizational Performance Management Quality Increase amount of education provided to patients - Discharge instructions - Education throughout hospital stay, including videos and interactive - Post-discharge appointment for patients within seven days of discharge - Smoking cessation materials and support for current or recent smokers - Membership to a regular teaching and treatment heart failure clinic Patient Safety Increase evidence-based practice discharge medication reconciliation compliance - Home medications reconciled at discharge, including necessary evidence-based medication selections and the rationale for each - Education for medication compliance - Education for side effects and minimizing adverse reactions Employee Engagement Increase staff nurse access to and knowledge of supportive resources - Continue team rounding that includes medical stake holders such as physicians, dietitians, and nurse educators - Provide a nurse navigator that works directly with patients and staff nurses to answer questions and transition easily into optimal care - Provide access to an education database such as Lippincott or Krames for nurse and patient recent/ relevant teaching Outcome Measure Drivers Indicator Page 3
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Principles of Organizational Performance Management Necessary Processes that Drive Each Outcome Measure The outcome measure for the area of performance is to reduce congestive heart failure 30-day readmissions. There are several necessary processes that drive this outcome measure.
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  • Winter '19
  • Philip Tarantino
  • Organizational Performance Management

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