other entities. The national benchmark of performance that will be utilized is the HCAHPS from NTC and will be compared to another hospital in Salinas named Salinas Valley Memorial Hospital (SVMH). For example, NTC and SVMH are the only two hospital in Salinas, California. According to the Centers for Medicare & Medicare Services (2018), NTC scored a 46%, and SVMH scored a 44%, on the survey portion where the patient was asked if the room was always quiet at night. NTC is scoring 2% higher than its competitor hospital SVMH. In comparison with the national benchmark average of 62%, NTC is 16% below the national benchmark average (Medicare, 2018). Therefore, noise level surveys and HCAHPS will be used to measure effectiveness of the recommended change over time. With a goal to use the recommended patient surveys to identify where the source of the noise is coming from, recommendations can be made to intervene and provide opportunities for learning and growth for the units. Once the noise level decibel monitors and noise level champions compile all the necessary data, a plan of action can be implemented with the PQRST Movement. As previously mentioned, the methodology she is using for this quality improvement project was the PDSA—plan-do- study-act—model with a goal to improve patient-satisfaction scores related to noise on the HCAHPS survey by 16% within 6 months. Meetings will be held monthly to review HCAHPS scores, noise level decibel monitoring, and noise level surveys to monitor for trends. B. Attach the completed “Nurse Leader Interview Verification Form.” C. Sources
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- Fall '18