Fluent Essays

see attachedExecutive Summary to CEO Prior to beginning work on this assignment, · Read the Writing Center  Writing an Executive Summary  (Links to an external site.)  webpage. · Read the  CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events   Download CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events. · Read the  Continuous Quality Improvement (CQI) Strategies to Optimize Your Practice  (Links to an external site.)  resource. · Read the  Medical Errors Nursing CE Course  (Links to an external site.)  webpage. · Read the  QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmap   Download QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmap resource. · Read the  Sentinel Events CY2018: Annual Report to the Maine State Legislature  (Links to an external site.) . · Read the  Six Steps for Successful Incident Investigation  (Links to an external site.)  webpage. · Read the  Tools: Cause and Effect Diagram  (Links to an external site.)  website. · Watch the following videos that describe the details included in a Fishbone Diagram · Whiteboard: Cause and Effect Diagram  (Links to an external site.)  , by Institute of Healthcare Improvement · Quality (Part 2: Ishikawa Diagram)  (Links to an external site.)  , by Infinity MFG · Read the  Using Quality Improvement Methods for Evaluating Health Care (Links to an external site.)  article. For this written assignment, you will prepare an executive summary for the CEO using the same sentinel event addressed earlier in the course. This report will be prepared for the CEO of the organization where the sentinel event occurred. The CEO is then required to provide details from the executive summary to the Board of Trustees and other stakeholders in the organization to identify the next steps of managing the sentinel event. Managing a sentinel event usually consists of the following steps: immediate action, planning the investigation, data collection, data analysis, corrective action plan, and reporting to accreditation agencies. For this assignment, first, review details from the Week 2 and Week 3 discussions, including responses from peers, as well as instructor gradebook feedback. Then, you will focus on the parts below to develop a cohesive plan to address the sentinel event. Address the following in the  Executive Summary to CEO template   Download Executive Summary to CEO template. Part 1: The Sentinel Event · Summarize the facts related to the sentinel event: · Description of the event · Staff involved · Discuss the timeline events from initiation of the error through the resolution (will vary depending upon the sentinel event): · When and/or where did the error occur? · When was it detected? · When was it reported and to whom? · Evaluate procedural errors: · Identify the point in time when the error should have been detected before it occurred. · What part of the process or procedure was missed that contributCause and Effect Diagram The template below depicts a cause and effect diagram. The cause factors and causes are listed on the left and are connected by an arrow to the effect that is listed on the right. You have the option of recording an audio description of your diagram using the built in audio recording tool. Recording audio is not required. You may delete cause factors from the template that you don’t need. Fill in the cause factors, the causes that are categorized within those factors, and the resulting effect. On the next slide is a sample that you can refer to. [insert cause factor 1] [insert cause 1A] [insert cause 1B] [insert cause 1C] [insert cause factor 2] [insert cause 2A] [insert cause 2B] [insert cause 2C] [insert cause factor 3] [insert cause 3A] [insert cause 3B] [insert cause 3C] [insert cause factor 4] [insert cause 4A] [insert cause 4B] [insert cause 4C] [insert effect] 1 Professor, may I please have more time to submit? Example Cause and Effect Diagram. [Personal Illness] [High fever, coughing, vomiting, and diarrhea] [Unable to complete assignments due to illness] [Family Illness] [Fever, coughing, vomiting, and diarrhea] [Got behind on work and school work] [Caring for family while they are sick] [Work overtime to complete missing work while sick] [Lost two weeks of time at work due to illness] [Major projects due with a quickly approaching deadline] [Remained at work longer hours to complete the project on time] [Supporting family in completing missing work while sick] [Spouse also had to work overtime to finish work assignments that were missed while sick] [Help children make up homework missed while sick] [My own school work did not get the attention needed] Project Submitted Late 21 7 Executive Summary to the CEO Your Name University of Arizona Global Campus HCA 460: Health Care Administration Capstone Instructors Name Date (spelled out: January X, 20XX) Hint: Delete all of these green boxes before submitting the paper to your instructor. To delete the boxes: click on the edge of each box and press delete. Also note: move text up when deleting green boxes. Do not maintain extra spacing where green boxes previously were. Hint: Ctrl + Click WRITING AN EXECUTIVE SUMMARY for help understanding the purpose of this type of writing. Note that the sample on this resource is much shorter than your assignment, so take the general advice but follow this template to create an assignment that meets your instructor’s requirements. Executive Summary to the CEO In this introduction section, begin by first stating your purpose for writing the Executive Summary to the CEO. Next, preview the main parts of your report so the reader knows what to expect. End this section with a statement that indicates the thesis or main conclusion of your paper. Hint: Ctrl + Click INTRODUCTIONS & CONCLUSIONS for help developing an introduction. Ctrl + Click WRITING A THESIS for help writing an appropriate thesis statement. Part 1: The Sentinel Event Hint: You are asked to use at least 8 credible sources for this paper, 4 of which must come from the University of Arizona Global Campus Library. In the next 3 sections of your paper, use these resources to help you to integrate your research into your writing: Ctrl + Click INTEGRATING RESEARCH Ctrl + Click QUOTING, PARAPHRASING, & SUMMARIZING Ctrl + Click CITING WITHIN YOUR PAPER Scenario Summary and Timeline of the Events In this section, begin with a summary of the facts related to the sentinel event. Be sure to describe the event. Also include the staff involved. This information should be the same or very similar to the scenario you created for the Week 2 Discussion and continued in the Week 3 Discussion. Next, discuss the timeline events from the initiation of the error through the resolution. This will vary depending on the sentinel event. Address when and/or where the error occurred, when it was detected, when it was reported, and to whom it was reported. Procedural Errors Evaluate the procedural errors. This is where you will need to identify the point in time where the error should have been detected before it occurred. What part of the process or procedure was missed that contributed to the sentinel event? Accreditation Analyze the accreditation agency requirements. Identify which agency would be involved (e.g., OSHA, ACHA, CMS, CDC, CLIA, TJC, AHCA, state agencies). Define the agency’s purpose and discuss the agency’s reporting expectations based on the incident. Part 2: Root Cause Analysis (Fishbone Diagram) (Note: This is a sample. Do not replicate the contents of this exact diagram. Right click on the image and select CUT from the list to removCMHA-CEI Policies and Procedure Manual Title: 1.1.14, Sentinel Events Subject: BOARD AND ADMINISTRATIVE OPERATIONS Section: Administrative Policy: □ Procedure: X Issued by: Director of Quality, Customer Service, and Recipient Rights Effective Date: 2/8/06 Applies to: X All CMHA-CEI staff □ Contract Providers □ Other: Page: 1 of 5 Approved by: Board of Directors Review Date: 12/9/16 I. Purpose: To identify a sentinel event, understand the cause, and take necessary action to reduce the probability of a future reoccurrence. This procedure is in compliance with the standards established by Mid-State Health Network (MSHN). II. Procedures: A. Initial actions to be taken when there is suspicion of a sentinel event (refer to Appendix A for flowchart): 1. Any provider/contract provider will notify their direct supervisor immediately upon suspicion of a Sentinel Event. An Incident Report will be completed and/or a Recipient Rights Complaint, as needed. 2. All persons involved in the event will complete a first person account of the event as soon as possible and within 72 hours of the event. a. The goal of a first person account is to provide details about the event in a clear, concise manner, giving as many details as you recall as accurately as possible. Describe only what you actually witnessed. b. Send the account directly to the QCSRR Director through secure email or interoffice mail. c. The first person account will be used by the QCSRR Director or Compliance Officer to complete a timeline of events to better inform those conducing a root causes analysis of the event. d. All first person accounts will be peer review protected. e. Only the QCSRR Director or Compliance Officer will review the first person accounts. f. All first person accounts will be kept confidential and locked in a filing cabinet. 3. Peer review protected first person statements will be sent directly to the Quality, Customer Service, and Recipient Rights (QCSRR) Director as soon as possible and within 72 hours of the event. 4. The QCSRR Director will determine if the event qualifies as a sentinel event. The QCSRR Director may involve others in this decision process. 5. If the event is determined to not meet the definition of a sentinel event, the Incident Report Procedure (3.3.7) and process outlined in that procedure shall be followed or the Recipient Rights Office will process allegations normally as described in the Recipient Rights Procedure (3.6.1). The peer review protected first person statements are not included in the processes outlined in procedures 3.3.7 and 3.6.1. Procedure #: 1.1.14 Title: Sentinel Events Page 2 of 5 B. Actions to be taken when it has been determined that a sentinel event occurred: 1. Within 3 business days of the sentinel event, the QCSRR Director will send notification to the Chief Executive OfficThe QUERI Roadmap for Implementation and Quality Improvement RESOURCE GUIDE U.S. Department of Veterans A�airs Veterans Health Administration Quality Enhancement Research Initiative The QUERI Roadmap Beating The Odds Getting Where You Need To Go A pragmatic guide on how to adopt, adapt, implement, spread and sustain new clinical practices and innovations across diverse real-world settings www.queri.research.va.gov Move effective practices from research to routine clinical care settings U.S. Department of Veterans A�airs Veterans Health Administration Quality Enhancement Research Initiative VOLTAGE DROP Effectiveness of practices Often drops in real-world settings WAITING GAME It often takes years before effective practices are adopted NAVIGATE THE PROCESS Guides you through the implementation process phases: pre-implementation, implementation, sustainment FIND RESOURCES Links to deep dives on topics APPLY IMPLEMENTATION METHODS Practical mile markers to help implementers know when and how to apply implementation methods Welcome to the Quality Enhancement Research Initiative (QUERI) Roadmap for Implementation and Quality Improvement! The QUERI Roadmap combines real- world experience with “state-of-the art” implementation and quality improvement science practices to make this knowledge usable for investigators and practitioners alike. This resource is a practical guide to plan and deploy methods and tools to support health system leaders, managers, and frontline clinicians in promoting the use of effective practices in routine health care settings. Moreover, the QUERI Roadmap aims to help frontline clinicians and staff integrate these practices into routine care using implementation strategies and rigorous evaluation of these efforts to inform policy and improve population health. Health systems in the United States are rapidly changing, and investigators and clinical leaders must meet the needs of consumers and the clinicians who care for them. Since 1998, QUERI has responded to these demands by promoting the use of implementation science to accelerate the adoption of effective practices in routine care settings using a learning health system framework. Learning health systems use health system data to find opportunities to apply effective practices to improve consumer and service outcomes. QUERI has also led the development and application of implementation strategies, which are highly specified, theory-based tools or methods that are designed to help frontline practitioners overcome barriers to using effective practices in routine care settings, or in some cases, de- implement ineffective or low-value practices. Several success stories where QUERI implementation strategies were used to implement effective practices nationally include integrated mental health treatment in primary care, telemedicine for chronic illnesses ranging from PTSD to stroke, and physical activity and caregiv1 Sample Executive Summary: Sunco I.M. Student The University of Arizona Global Campus BUS 123: Principles in Business Professor Tough May 15, 2050 *This sample was adapted by the UAGC Writing Center from an original paper by a student. Used by permission. An executive summary is a concise summary of a business report. It restates the purpose of the report, it highlights the major points of the report, and it describes any results, conclusions, or recommendations from the report. An executive summary should be aimed at an audience that is interested in and wants to learn more about the purpose of the main business report. An executive summary should… • Be presented as a document that can stand on its own • Be one to three pages, depending on the length of the report Note: For academic purposes, a title page is attached to the executive summary. In the professional world, however, this is not required. http://writingcenter.uagc.edu/introduction-apa 2 Sample Executive Summary: Sunco Through partnering with utility companies and other energy regulators, Sunco can make renewable energy a dependable option for our customers. The opportunity, recommendation, timeline, and cost are provided in this report. Opportunity In the absence of a national “smart” grid, which would increase “pricing transparency, as well as enable a host of consumer-producer interactive transactions” (Contreras, 2012, p. 645), we here at Sunco, as producers of renewable energy, have run into the problem of getting our services to the customers who demand them. Similarly, our consumers who generate renewable energy on-site from solar panels and wind turbines have also run into the problem of permits, regulations, and service charges that vary from state to state and utility to utility (Ryor, 2014). Currently, the main challenge is convincing local utilities of the economic viability of renewable energy, and since the energy supplied is undifferentiated, the general customer base is unaware that other options exist. Solution Since we, as a company, lack the necessary knowledge and authority to enable our services to be accessed and expedited in a way that would make them economically feasible in the existing system, we seek to engage in a partnership with utilities and regulators around the country to grant our clients exclusive, contractual “renewable energy options.” These options will standardize and simplify contracting processes and fees for our “behind-the-grid” In the introduction, the writer quickly (a) states the purpose of the report and (b) highlights the major points within the executive summary and the full business report. Section headings are used to show the different parts of the report. Describe any results, conclusions, or recommendations from the report. http://writingcenter.uagc.edu