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In this two-part deliverable assessment, first, create a 57 slide elevator-speech style presentation that you will present to stakeholders that provides an overview of policy implementation, including rationale and data that reflect the need for the new policy. Second, create a detailed, annotated training agenda for the pilot team that will accompany your presentation.

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Introduction

Training and educating those within an organization who are responsible for implementing and working with changes in organizational policy is a critical step in ensuring that prescribed changes have their intended benefit. A leader in a healthcare profession must be able to apply effective leadership, management, and educational strategies to ensure that colleagues and subordinates will be prepared to do the work that is asked of them.

As a master’s-level healthcare practitioner, you may be asked to design training sessions to help ensure the smooth implementation of any number of initiatives in your healthcare setting. The ability to create an agenda that will ensure your training goals will be met, and will fit into the allotted time, is a valuable skill for preparing colleagues to be successful in their practice.

This assessment offers you an opportunity to develop and implement effective educational strategies.

Instructions

In this assessment, inform the leadership stakeholders of a planned pilot project to test the implementation of your new policy. Describe the policy in an elevator-speech style, explain why the policy is needed, and why the group was chosen for the pilot. Then, develop a detailed training agenda that will describe the training needed, including any resources, number and times of classes (including length) and if there will be any skills training and return demonstrations or written exams. Connect the pilot to the benchmarks you will measure. As a result of this presentation, stakeholders are expected to:

Understand the organizational policy and practice guidelines to be implemented.

Understand the importance of the policy to improving quality or outcomes.

Understand how the designated role group is key to successful implementation.

Have awareness of the necessary knowledge and skills for successful implementation.

Elevator Speech Presentation

Record a 5-minute recorded slide presentation for your elevator speech. Be sure to include:

A brief description of the policy and why it is necessary to improve benchmark metrics or comply with new regulations.

Include a description of the pilot group and why they were chosen to demonstrate the change in workflow and improve quality of care.

Describe the metrics that will be used to determine current practice and compare it after the training has ended.

Summarize the training implementation.

Annotated Training Agenda

You will also develop an agenda for the training sessions, including:

Length and number of class sessions.

Location of classessimulation lab, classroom, et cetera.

The resources needed for the courses, any teaching staff, equipment, technology, or supplies needed.

What teaching strategies will be employed to measure learner success, including any check-off lists or written exams (you do not have to provide the actual exam)?

How will employees be scheduled and who will maintain records of completion, any grades, or skills verification?

Any credit that will be provided to the staff (that is, continuing education credits).

Plans to train the rest of the staff and new employees following the pilot.

The follow-up plan for assessing sustainability.

Use the Annotated Training Agenda Template [DOCX] to develop your agenda.

Requirements

The strategy summary and annotated training agenda requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

Explain the desired impact of implementing the new policy and practice guidelines on benchmark performance.

How will the change be implemented?

How will the new policy affect the daily work routines and responsibilities of the role for the pilot group?

How will the policy and guidelines help improve the quality of care or outcomes and how will success be measured?

Explain the selected pilot group’s role and importance in implementing the new policy and practice guidelines.

Why is the work and buy-in of the role group important for successful implementation?

How could you help the group feel empowered by their involvement during implementation?

Summarize evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Why will these strategies be effective?

What measures might provide early indications of success?

Determine the resources needed to effectively implement a training session for the new policy or practice guidelines.

How will each proposed activity on your agenda support learning and skill development?

Can you complete the training within the allotted two hours?

Deliver a persuasive, coherent, and effective audiovisual presentation.

Organize content so ideas flow logically with smooth transitions.

Proofread your strategy summary and training agenda, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your strategies.

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Be sure to apply correct APA formatting to source citations and references.

Presentation Format and Length

You may use Microsoft PowerPoint or other suitable presentation software to create your slides. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues. If using PowerPoint to create your presentation slides, you may use the SoNHS Professional Presentation Guidelines [PPTX] as a template. Be sure that your slide deck includes the following slides:

Title slide.

Presentation title.

Your name.

Date.

Course number and title.

References (at the end of your presentation). Apply current APA formatting to all citations and references.

Your slide deck should consist of 57 slides, not including a title slide and references slide. Your presentation should last approximately 5 minutes.

Ensure you provide speaker notes for each slide to fully address scoring guide criteria.

What to submit:

PowerPoint presentation.

Recorded PowerPoint presentation, including audio track.

Save your PowerPoint files as a PDF with notes.

Understand that the speaker notes will be processed through Turnitin.

Refer to the Presentation Resources for help, along with the SoNHS Professional Presentation Guidelines [PPTX].

Annotated Training Agenda.

Supporting Evidence

Cite 24 external sources to support your strategies for working with the group you have identified and generating their buy-in, as well as for your approach to the training session, activities, and materials.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze relevant healthcare laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.

Explain to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance.

Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.

Explain the selected pilot group’s role and importance in implementing the new policy or practice guidelines.

Summarize evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Determine the resources needed to effectively implement a training session for the new policy or practice guidelines.

Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.

Deliver a persuasive, coherent, and effective audiovisual presentation.

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

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Criterion 1

Explain to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance.

Distinguished

Explains to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance. Offers clear insight into their implementation and effects on the role groups daily work routines and responsibilities. Interprets complex policy considerations or practice guidelines with respect and clarity.

Proficient

Explains to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance.

Basic

Describes to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance.

Non Performance

Does not describe to stakeholders the desired impact of implementing the new policy or practice guidelines on benchmark performance.

Criterion 2

Explain the selected pilot group’s role and importance in implementing the new policy or practice guidelines.

Distinguished

Provides a clear, concise, explanation of the selected pilot groups role and importance in implementing a new policy and practice guidelines. Suggests an empowering, future vision, highlighting the positive contributions of the group.

Proficient

Explains the selected pilot role groups importance in implementing a new policy and practice guidelines.

Basic

Describes the selected pilot groups role in implementing a new policy and practice guidelines.

Non Performance

Does not describe the selected pilot group’s role in implementing a new policy and practice guidelines.

Criterion 3

Summarize evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Distinguished

Succinctly summarizes evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations. Argues effectively for the efficacy of these strategies and suggests insightful measures indicative of early success.

Proficient

Summarizes evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Basic

Summarizes unsubstantiated or poorly developed strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Non Performance

Does not summarize evidence-based strategies to promote stakeholder buy-in and prepare them for the implementation of a new policy based on practice guidelines and regulations.

Criterion 4

Determine the resources needed to effectively implement a training session for the new policy or practice guidelines.

Distinguished

Determines the resources needed to effectively implement a training session for the new policy or practice guidelines. Provides convincing justification for the effectiveness of each proposed activity in supporting learning and skill development, exhibiting insight into the group’s work and the particular demands of implementing a new policy and practice guidelines. Provides an annotated agenda for a two-hour training session.

Proficient

Determines the resources needed to effectively implement a training session for the new policy or practice guidelines. Provides an annotated agenda for a two-hour training session.

Basic

Describes some of the resources needed to effectively implement a training session for the new policy or practice guidelines.

Non Performance

Does not describe the resources needed to effectively implement a training session for the new policy or practice guidelines.

Criterion 5

Deliver a persuasive, coherent, and effective audiovisual presentation.

Distinguished

Delivers a persuasive, coherent, and effective audiovisual presentation, well suited to the information needs and concerns of the target audience. Presents clear and convincing arguments and main points, well supported by error-free slides that adhere to visual design best practices.

Proficient

Delivers a persuasive, coherent, and effective audiovisual presentation.

Basic

Delivers an audiovisual presentation that lacks clear purpose, coherence, or focus, or is supported by slides that that add minimal value to the presentation.

Non Performance

Does not deliver a persuasive, coherent, and effective audiovisual presentation.

Criterion 6

Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Distinguished

Conveys clear purpose, in a tone and style well-suited to the intended audience. Supports assertions, arguments, and conclusions with relevant, credible, and convincing evidence. Exhibits strict and nearly flawless adherence to organizational, professional, and scholarly writing standards, including APA style and formatting. Notes the specific benefits for patients and the organization.

Proficient

Conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Basic

Conveys purpose, in an appropriate tone or style. Clear, effective communication is inhibited by insufficient supporting evidence and/or minimal adherence to applicable writing standards.

Non Performance

Does not convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and writing scholarly standards.

Write a 46 page policy proposal and practice guidelines for improving quality and performance associated with the benchmark metric underperformance you advocated for improving in Assessment 1.

Collapse AllIntroduction

In advocating for institutional policy changes related to local, state, or federal healthcare laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guideline proposals that will enable a team, a unit, or an organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of healthcare. This assessment offers you an opportunity to take the lead in proposing such changes.

As a master’s-level healthcare practitioner, you have a valuable viewpoint and voice to bring to discussions about policy development, both inside and outside your care setting. Developing policy for internal purposes can be a valuable process toward quality and safety improvement and ensuring compliance with various healthcare regulatory pressures. This assessment offers you an opportunity to take the lead in proposing such changes as well.

Instructions

Propose an organizational policy and practice guidelines that you believe will lead to an improvement in quality and performance associated with the benchmark underperformance you advocated for improving in Assessment 1. Be precise, professional, and persuasive in demonstrating the merit of your proposed actions.

Requirements

The policy proposal requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

• Explain the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws. Use your topic from Assessment 1 to complete this.
• What is the current benchmark for the organization and the numeric score for underperformance?
• How is the benchmark underperformance affecting the provision of quality care or the organization’s operations?
• What are the potential repercussions of not making any changes?
• What evidence supports your conclusions?
• Summarize your proposed organizational policy and practice guidelines.
• Identify applicable local, state, or federal healthcare policy or law that prescribes relevant performance benchmarks that your policy proposal addresses (using your Advocacy Issues topic from the AHA).
• Keep your audience in mind when creating this summary statement.
• Analyze the potential effects of environmental factors on your recommended practice guidelines.
• What regulatory considerations could affect your recommended guidelines?
• What resources could affect your recommended guidelines (staffing, financial, and logistical considerations, or support services)?
• Explain ethical, evidence-based practice guidelines to improve targeted benchmark performance and the impact the proposed changes will have on the targeted group.
• What does the evidence-based literature suggest are potential strategies to improve performance for your targeted benchmark?
• How would these strategies ensure performance improvement or compliance with applicable local, state, or federal healthcare policy or law?
• How can you ensure that these strategies are ethical and culturally inclusive in their application?
• What is the direct impact of these changes on the stakeholders’ work setting/job requirements?
• Explain why particular stakeholders and groups must be involved in further development and implementation of your proposed policy and practice guidelines.
• Why is it important to engage these stakeholders and groups?
• How can their participation produce a stronger policy and facilitate its implementation?
• Present strategies for collaborating with the stakeholder group to implement your proposed policy and practice guidelines.
• What role will the stakeholder group play in implementing your proposal?
• Why is the stakeholder group and their collaboration important for successful implementation?
• Organize content so ideas flow logically with smooth transitions.
• Proofread your proposal, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your proposal.
• Use paraphrasing and summarization to represent ideas from external sources.
• Be sure to apply correct APA formatting to source citations and references.

Policy Proposal Format and Length

It may be helpful to use a template or format for your proposal used in your current organization. The risk management or quality department could be a good resource for finding an appropriate template or format. If you are not currently in practice, or your organization does not have these resources, many appropriate templates are freely available on the Internet.

Your policy summary statement should be succinct (about one paragraph). Overall, your proposal should be 46 pages in length.

Supporting Evidence

Cite 35 references to current and scholarly research, case studies, or best practice guidelines to support your analysis and recommendations.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Analyze relevant healthcare laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
• Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws.
• Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
• Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.
• Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform healthcare laws and policies for patients, organizations, and populations.
• Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.
• Competency 4: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
• Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes.
• Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.
• Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
• Organize content so ideas flow logically with smooth transitions.
• Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Collapse AllCriterion 1

Explain and interpret for stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws.

Distinguished

Explains to stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws. Clearly articulates the effects of benchmark underperformance and draws sound conclusions about the potential repercussions of inaction, based on credible evidence and relates information to stakeholder group.

Proficient

Explains to stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws.

Basic

Identifies to stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws. irrespective of a particular need.

Non Performance

Does not explain to stakeholders the need for creating a policy and practice guidelines to address a shortfall in meeting a benchmark metric prescribed by local, state, or federal healthcare policies or laws.

Criterion 2

Summarize a proposed organizational policy or practice change guideline and analyze the potential effects of environmental factors on recommended practice guidelines.

Distinguished

Succinctly summarizes a proposed organizational policy and practice guidelines; analyzes the potential effects of environmental factors on recommended practice guidelines. Identifies clear cause-and-effect relationships and the influence of those factors on specific recommendations.

Proficient

Summarizes a proposed organizational policy and practice change guidelines and the potential effects of environmental factors on recommended practice guidelines.

Basic

Provides a summary that paints an unclear picture of a proposed organizational policy and practice guidelines and/or does not expand on environmental factors that can affect recommended practice guidelines.

Non Performance

Does not summarize a proposed organizational policy and practice guidelines or identify environmental factors that can affect recommended practice guidelines.

Criterion 3

Explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.

Distinguished

Explains how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change. Provides clear and compelling justification, substantiated by credible evidence.

Proficient

Explains how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.

Basic

Identifies how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change but does not provide context or rationale to support the content.

Non Performance

Does not explain how ethical, evidence-based practice guidelines to improve targeted benchmark performance will impact a stakeholder group needed for successful implementation of the policy or practice change.

Criterion 4

Explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes.

Distinguished

Provides a perceptive and succinct explanation of why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines. Offers clear and convincing rationale for stakeholder and group engagement and how it strengthens policy and facilitates changes in practice to improve quality outcomes.

Proficient

Explains why particular stakeholders and groups must be involved in further development and implementation of a proposed policy and practice guidelines change to improve quality and outcomes.

Basic

Identifies stakeholders and groups who are not the most logical choices to be involved in further development and implementation of a proposed policy and practice guidelines and implementation of a proposed policy or practice change to improve quality and outcomes.

Non Performance

Does not explain why particular stakeholders and groups must be involved in further development and implementation of a proposed policy or practice change to improve quality and outcomes.

Criterion 5

Present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.

Distinguished

Presents strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines. Makes a compelling case for the importance of stakeholder collaboration and considers stakeholder perspectives by addressing possible objections.

Proficient

Presents strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.

Basic

Presents stakeholder collaboration strategies for implementing a proposed policy and practice guidelines that lack clear relevance or insight into the positions and perspectives of the stakeholder group.

Non Performance

Does not present strategies for collaborating with a stakeholder group to implement a proposed policy and practice guidelines.

Criterion 6

Organize content so ideas flow logically with smooth transitions.

Distinguished

Organizes content so clarity is enhanced and all ideas flow logically with smooth transitions.

Proficient

Organizes content so ideas flow logically with smooth transitions.

Basic

Organizes content with some logical flow and smooth transitions.

Non Performance

Does not organize content for ideas to flow logically with smooth transitions.

Criterion 7

Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Distinguished

Supports main points, assertions, arguments, conclusions, or recommendations with relevant, credible, and convincing evidence. Skillfully combines virtually error-free source citations with a perceptive and coherent synthesis of the evidence.

Proficient

Supports main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Basic

Sources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of main points, assertions, arguments, conclusions, or recommendations.

Non Performance

Does not support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

Write a 35 page report for a senior leader that communicates your evaluation of current organizational or interprofessional team performance, with respect to prescribed benchmarks set forth by government laws and policies at the local, state, and federal levels.

Collapse AllIntroduction

In this assessment, you will delve into the world of healthcare laws, guidelines, policies, and benchmarks. As a healthcare professional and leader, it is essential to understand the policies governing your organization and how they align with broader healthcare laws and industry benchmarks. Each member of the healthcare team needs to understand what is needed to provide efficient, effective, and evidence-based care. Through this assessment, you will develop critical analysis skills that will enhance your understanding of healthcare governance and quality improvement efforts.

The purpose of this assessment is to analyze a policy related to your professional practice, organization, or community and compare it to relevant healthcare laws, guidelines, and policies. Then, you will examine how policy, guidelines, and laws align with measurable healthcare benchmarks and implications for quality improvement.

Instructions

Use the to complete this assessment.

1. Topic Selection: Choose a topic of interest that you would like to work in your organization or one where you have worked before or are interested in working.

• Look at the American Hospital Association, Center for Medicare & Medicaid, the Institute of Health Care Improvement, or the Joint Commission Patient Safety Goals.
• If you cannot locate one, look at local, state, or federal issues.

1. Policy Application: Find a policy, set of guidelines, or government regulations and apply it to the organizations work on the chosen topic. You may choose a policy you have access to from your organization. Other sources of policies include those published online from a different healthcare organization.

• Describe clearly how the selected policy complies with or diverges from the requirements outlined in a related healthcare law, providing evidence to support your position.
• Discuss the potential legal, ethical, or financial implications of non-compliance with the policy and its alignment with healthcare law or professional guidelines.
• Consider the consequences for individual practitioners, stakeholders, and the healthcare organization.
• Examples of Laws, Regulations, and Standards:
• Centers for Medicare & Medicaid Services (CMS) Federal regulations and guidance.
• CMS Hospital Readmissions Reduction Program (HRRP).
• CMS Inpatient Quality Reporting Program (IQR).
• CMS Improving Medicare Post-Acute Transformation Act of 2014 (IMPACT Act) is a federal law that standardizes patient assessment data in post-acute care settings.
• CMS Social Determinants of Health (SDOH) requirements.
• The Joint Commission Standards and Measures.
• Commission on Accreditation of Rehabilitation Facilities (CARF).
• Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network.
• National Database of Nursing Quality Indicators (NDNQI).
• Agency for Healthcare Research and Quality (AHRQ).
• National Committee for Quality Assurance (NCQA) – Healthcare Effectiveness Data and Information Set (HEDIS) measures.
• The Patient Safety and Quality Improvement Act of 2005 (PSQIA) protects healthcare workers who report unsafe conditions at their practices. The law encourages individuals to report medical errors while maintaining patient confidentiality.

1. Benchmark Comparison: Identify a benchmark or strategic goal and compare it to the policy, guideline, or regulation and goal that is not at the desired goal or range.

• A benchmark in healthcare is a standard or point of reference used to measure and compare the performance of healthcare organizations, departments, or individual clinicians.
• Benchmarks are used to identify areas for improvement and set goals for quality improvement.
• These benchmarks could include national quality indicators, best practices recommended by professional organizations, or performance metrics set by regulatory agencies.
• If you do not have access to your organization’s benchmarks, one of the resources on the reading list can be utilized to access benchmarks.
• Describe the benchmarks associated with the healthcare law, policy, or guideline, and clearly articulate the connections between benchmarks and policy. There may be more than one benchmark for a topic, but only one is needed.
• The comparison should include the benchmarks numerical value.
• example: This information is an example of available data that could be used to build a case for what needs improvement based on underperformance and help justify the consequences of not meeting the standards set for the CMS Core Measures. Some hospitals share lots of detail, while others provide limited information.

1. Metric Analysis: Look at the metric or measure that is not being met or in compliance with the policy, guideline, or regulation and analyze what needs to be added, removed, or developed to ensure the benchmark is met.

• Consider how an Interprofessional Education (IPE) team can develop a Quality Improvement (QI) plan to improve these outcomes.
• Analyze the consequences of not meeting prescribed benchmarks and the impact this has on healthcare organizations or teams.
• The reading list is a good place to find this type of information.
• Be sure to clearly identify implications and acknowledge assumptions underlying your analysis.

1. Sustainability and Ethics: Describe what is needed to ensure that the project plan will be sustainable, efficient, effective, and evidence-based.

• Consider how adherence to benchmarks can drive positive outcomes in patient care, safety, and overall organizational performance.
• Explain how you can ensure the solution is ethical and protects vulnerable and diverse patient populations.
• Advocate for ethical and sustainable actions directed toward an appropriate group of stakeholders, arguing effectively for recommended actions with a clear and perceptive explanation of the ethical principles and sustainability goals to guide such actions.

Note: Ensure your data are Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.

Report Requirements

The report requirements outlined below correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, be sure to note the requirements for document format and length and for supporting evidence.

• Describe how the selected policy complies with or diverges from the requirements outlined in the healthcare law.
• Identify benchmarks associated with a healthcare law, policy, or guideline.
• For additional information on benchmarks, you may go to the AHRQ website and explore their Data Tools. Use the for step-by-step instructions.
• Evaluate dashboard metrics associated with benchmarks set forth by local, state, or federal healthcare laws or policies.
• Identify a benchmark underperformance.
• Analyze the consequences of not meeting prescribed benchmarks and the impact this has on healthcare organizations or teams.
• Discuss the potential legal, ethical, or financial implications of non-compliance with the policy and its alignment with healthcare law or professional guidelines.
• Consider the consequences for individual practitioners, stakeholders, and the healthcare organization.
• Advocate for ethical and sustainable actions, directed toward an appropriate group of stakeholders, needed to address a benchmark underperformance.
• Organize content so ideas flow logically with smooth transitions.
• Proofread your report, before you submit it, to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation and analysis.
• Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
• Be sure to apply correct APA formatting to source citations and references.

Report Format and Length

Format your report using current APA style.

• Use the to help you in writing and formatting your report. Be sure to:
• Remember to utilize the authoring organization as the group author if specific authors are not noted.
• If there is no date (n.d.), provide the date retrieved and from.
• Include more information than the URL.
• Include a title and reference page. Do not use an abstract.
• Your report should be 35 pages in length, not including the title page and references page.

Supporting Evidence

Cite 46 credible, current, and scholarly references. Include the policy, law, or guidelines.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Analyze relevant healthcare laws, policies, and regulations; their application; and their effects on organizations, interprofessional teams, and professional practice.
• Describe how a selected policy complies with or diverges from the requirements outlined in a related healthcare law.
• Analyze the consequences of not meeting prescribed benchmarks and the impact this has on healthcare organizations or teams.
• Competency 2: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
• Advocate for ethical and sustainable actions, directed toward an appropriate group of stakeholders, needed to address a benchmark underperformance.
• Competency 3: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, to inform healthcare laws and policies for patients, organizations, and populations.
• Identify benchmarks associated with a healthcare law, policy, or guideline.
• Evaluate a benchmark underperformance in a healthcare organization or interprofessional team that has the potential for greatly improving overall quality or performance.
• Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella’s writing standards.
• Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.