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

Principles of Organizational Performance Management
Task 1 - Performance Data Scorecard
Melanie Troxell, BSN, BA, RN-BC
Western Governors University March 22, 2019

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

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

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.