Module 5 Assignment:
Systems Challenge: ER Avoidable Use
Guideline and Rubric
Purpose
Healthcare systems must address both internal and external influencing factors to assure safe, high quality, cost-efficient care and improve patient outcomes. Avoidable use and misuse of the Emergency Department are phenomena that directly impact organizational outcomes and efficiency. The purpose of this assignment is to analyze the misuse of healthcare resources from a systems leadership perspective in order to propose viable solutions.
Course Learning Outcomes
Through this assignment, the student will address the following course learning outcomes:
- CO 1: Analyze the relationships among access, affordability, and availability of services within complex healthcare delivery systems. (PO #1)
- CO 3: Contrast the revenue sources for reimbursement of healthcare delivery services within complex healthcare systems. (PO #2)
- CO 4: Develop problem-solution strategies for a selected issue within the healthcare environment. (PO 5)
Total Points Possible: 150 Points
Assignment Overview
Investigate the issue of ER avoidable use as it portrays misuse of healthcare resources. Create a 10 – 12 slide PowerPoint Presentation. Use a minimum of 4 current scholarly sources to support your work. See rubric for specific, required content criteria within each section of the presentation:
- Provide an introduction to the presentation
- Present an overview surrounding the issue of ER avoidable use, and explain the impact on healthcare systems and individual patients.
- Identify three specific underlying reasons for this misuse of healthcare resources, and discuss how each underlying issue is reflective of a gap or problem within the current healthcare system.
- Propose one strategy to address or resolve one of the underlying issues, and discuss how the strategy will specifically address or resolve the issue. Provide a detailed explanation of the resources necessary to operationalize the proposed strategy.
- Provide a conclusion to the presentation.
Assignment Instructions
- Abide by the College of Nursing Academic Integrity Policy.
- Use Microsoft PowerPoint to create the presentation.
- Each slide (excluding title and reference slides) must include detailed speaker notes.
- The purpose of the speaker notes is to expand upon the idea and document facts and information about the bulleted information points on the slide.
- Formal, scholarly writing style with complete sentence and paragraph structure should be used to create the speaker notes.
- Scholarly literature support should be integrated within the speaker notes.
- Speaker notes assure that all assignment expectations and key points are covered.
- Within the speaker notes, the rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the APA Manual (current edition).
- First person should not be used for this scholarly assignment.
- Citation and referencing of sources must be congruent with guidelines noted in the APA Manual (current edition).
- Slides are professional in appearance with visually balanced text, font appropriate for audience reading, succinct bulleted points, and visually appealing contrast between background and font utilized. Correct spelling and appropriate use of graphics/images is evident.
- Sources older than five years may not be used without the permission of the class professor.
- Please note: If you do not receive a proficient rating in any major content category, you can re-submit your assignment with revisions in those content categories to receive a better grade. You have one additional opportunity to revise after the initial submission in order to make improvements.
Assignment Criteria
| Assessment Criteria | Points | % | Description |
| Introduction | 15 | 10% | This section includes: Opening statements regarding the rationale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems Identification of the sections of the presentationSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented |
| ER Avoidable Use | 15 | 10% | This section includes: Overview surrounding the issue of ER avoidable useExplanation of the impact on healthcare systems and individual patientsSpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented |
| Underlying Causes | 30 | 20% | This section includes: Identification of three specific underlying reasons for this misuse of healthcare resourcesDiscussion regarding how each underlying issue is reflective of a gap or problem within the current healthcare systemSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented |
| Proposed Solution | 45 | 30% | This section includes: Proposal of one strategy to address or resolve one of the underlying issuesDiscussion regarding how the proposed strategy will specifically address or resolve the issue Detailed explanation of the resources necessary to operationalize the proposed strategySpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented |
| Conclusion | 15 | 10% | This section includes: Concluding statements regarding the misuse of healthcare resources and the resulting impact on individuals and healthcare systemsDiscussion regarding implications of this issue for leaders in advanced nursing practiceSpeaker notes are included for the slide(s) in this section |
| Graduate-level Writing Style | 15 | 10% | Graduate-level writing style is included, evidenced by integrating the following standards: Correct use of spelling, grammar, punctuation, sentence and paragraph structure within the speaker notesCorrect use of spelling and word usage on the slidesClarity, organization, and logical flow of ideas and information on speaker notes and slidesAlignment between information on slides and speaker notesAPA format (current edition) for citing and referencing sourcesCongruence with APA mechanics of style (abbreviations, capitalization, italics, numbers)No direct quotes are used within the assignmentFirst person is not used within the presentation slides or speaker notes |
| Graduate-level Presentation Style | 15 | 10% | Professional presentation is created, evidenced by the following: Slide design includes visually balanced textSlide design provides contrast of color between background and font usedSuccinct, key points are presented on the slidesNo lengthy narratives are included on the slidesFont size appropriate for audience viewing (sized 18 or larger)Use of graphics and/or images is professional and appropriate for the topic |
| Quality of Literature Support | It is an expectation that a minimum of 4 scholarly sources, current within 5 years, are integrated within the assignment. If the above expectation is not met, 4 points shall be deducted. | ||
| Assignment Length Criteria | It is an expectation that the assignment is a minimum of 10 and a maximum of 12 slides in length (not including the title or reference slides). If the above expectation is not met, 4 points shall be deducted. | ||
| Total | 150 | 100% | A quality assignment will meet or exceed the above requirements. |
Grading Rubric
| Assessment Criteria | Distinguished (100%) | Exceeds (92%) | Proficient (84%) | Needs Improvement (0) | |
| Introduction | 15 Points | 13 Points | 12 Points | 0 Points | |
| Distinguished presentation of information evidenced by all of the following content areas covered in a comprehensive and concise manner: Opening statements regarding the rationale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems Identification of the sections of the presentationSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Presentation of information exceeds expectations evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial: Opening statements regarding the rationale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems Identification of the sections of the presentationSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Proficient presentation of information evidenced by content covered in a limited or superficial manner in two or more of the content areas: Opening statements regarding the rationale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems Identification of the sections of the presentationSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Presentation of information needs improvement as evidenced by content that is missing or unsatisfactory in one or more of the content areas: Opening statements regarding the rationale for responsible use of healthcare resources and significance of the issue across healthcare delivery systems Identification of the sections of the presentationSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | ||
| ER Avoidable Use | 15 Points | 13 Points | 12 Points | 0 Points | |
| Distinguished presentation of information evidenced by all of the following content areas covered in a comprehensive and concise manner: Overview surrounding the issue of ER avoidable useExplanation of the impact on healthcare systems and individual patientsSpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Presentation of information exceeds expectations evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial: Overview surrounding the issue of ER avoidable useExplanation of the impact on healthcare systems and individual patientsSpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Proficient presentation of information evidenced by content covered in a limited or superficial manner in two or more of the content areas: Overview surrounding the issue of ER avoidable useExplanation of the impact on healthcare systems and individual patientsSpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Presentation of information needs improvement as evidenced by content that is missing or unsatisfactory in one or more of the content areas: Overview surrounding the issue of ER avoidable useExplanation of the impact on healthcare systems and individual patientsSpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | ||
| Underlying Causes | 30 Points | 27 Points | 25 Points | 0 Points | |
| Distinguished presentation of information evidenced by all of the following content areas covered in a comprehensive and concise manner: Identification of three specific underlying reasons for this misuse of healthcare resourcesDiscussion regarding how each underlying issue is reflective of a gap or problem within the current healthcare systemSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Presentation of information exceeds expectations evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial: Identification of three specific underlying reasons for this misuse of healthcare resourcesDiscussion regarding how each underlying issue is reflective of a gap or problem within the current healthcare systemSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Proficient presentation of information evidenced by content covered in a limited or superficial manner in two or more of the content areas: Identification of three specific underlying reasons for this misuse of healthcare resourcesDiscussion regarding how each underlying issue is reflective of a gap or problem within the current healthcare systemSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | Presentation of information needs improvement as evidenced by content that is missing or unsatisfactory in one or more of the content areas: Identification of three specific underlying reasons for this misuse of healthcare resourcesDiscussion regarding how each underlying issue is reflective of a gap or problem within the current healthcare systemSpeaker notes are included for the slide(s) in this sectionSufficient integration of scholarly sources to support information presented | ||
| Proposed Solution | 45 Points | 41 Points | 37 Points | 0 Points | |
| Distinguished presentation of information evidenced by all of the following content areas covered in a comprehensive and concise manner: Proposal of one strategy to address or resolve one of the underlying issuesDiscussion regarding how the proposed strategy will specifically address or resolve the issue Detailed explanation of the resources necessary to operationalize the proposed strategySpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Presentation of information exceeds expectations evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial: Proposal of one strategy to address or resolve one of the underlying issuesDiscussion regarding how the proposed strategy will specifically address or resolve the issue Detailed explanation of the resources necessary to operationalize the proposed strategySpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Proficient presentation of information evidenced by content covered in a limited or superficial manner in two or more of the content areas: Proposal of one strategy to address or resolve one of the underlying issuesDiscussion regarding how the proposed strategy will specifically address or resolve the issue Detailed explanation of the resources necessary to operationalize the proposed strategySpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | Presentation of information needs improvement as evidenced by content that is missing or unsatisfactory in one or more of the content areas: Proposal of one strategy to address or resolve one of the underlying issuesDiscussion regarding how the proposed strategy will specifically address or resolve the issue Detailed explanation of the resources necessary to operationalize the proposed strategySpeaker notes are included for the slide(s) in this section Sufficient integration of scholarly sources to support information presented | ||
| Conclusion | 15 Points | 13 Points | 12 Points | 0 Points | |
| Distinguished presentation of information evidenced by all of the following content areas covered in a comprehensive and concise manner: Concluding statements regarding the misuse of healthcare resources and the resulting impact on individuals and healthcare systemsDiscussion regarding implications of this issue for leaders in advanced nursing practiceSpeaker notes are included for the slide(s) in this section | Presentation of information exceeds expectations evidenced by most content covered in a comprehensive and concise manner, but with one area where coverage is superficial: Concluding statements regarding the misuse of healthcare resources and the resulting impact on individuals and healthcare systemsDiscussion regarding implications of this issue for leaders in advanced nursing practiceSpeaker notes are included for the slide(s) in this section | Proficient presentation of information evidenced by content covered in a limited or superficial manner in two or more of the content areas: Concluding statements regarding the misuse of healthcare resources and the resulting impact on individuals and healthcare systemsDiscussion regarding implications of this issue for leaders in advanced nursing practiceSpeaker notes are included for the slide(s) in this section | Presentation of information needs improvement as evidenced by content that is missing or unsatisfactory in one or more of the content areas: Concluding statements regarding the misuse of healthcare resources and the resulting impact on individuals and healthcare systemsDiscussion regarding implications of this issue for leaders in advanced nursing practiceSpeaker notes are included for the slide(s) in this section | ||
| Graduate-level Writing Style | 15 Points | 13 Points | 12 Points | 0 Points | |
| Distinguished graduate-level writing style is evidenced by meeting all of the following criteria with 0-1 errors total: Correct use of spelling, grammar, punctuation, sentence and paragraph structure within the speaker notesCorrect use of spelling and word usage on the slidesClarity, organization, and logical flow of ideas and information on speaker notes and slidesAlignment between information on slides and speaker notesAPA format (current edition) for citing and referencing sourcesCongruence with APA mechanics of style (abbreviations, capitalization, italics, numbers)No direct quotes are used within the assignmentFirst person is not used within the presentation slides or speaker notes | Graduate-level writing style exceeds expectations as evidenced by meeting the following criteria with 2-3 errors total: Correct use of spelling, grammar, punctuation, sentence and paragraph structure within the speaker notesCorrect use of spelling and word usage on the slidesClarity, organization, and logical flow of ideas and information on speaker notes and slidesAlignment between information on slides and speaker notesAPA format (current edition) for citing and referencing sourcesCongruence with APA mechanics of style (abbreviations, capitalization, italics, numbers)No direct quotes are used within the assignmentFirst person is not used within the presentation slides or speaker notes | Proficient graduate-level writing style is evidenced by meeting the following criteria with 4-5 errors, total: Correct use of spelling, grammar, punctuation, sentence and paragraph structure within the speaker notesCorrect use of spelling and word usage on the slidesClarity, organization, and logical flow of ideas and information on speaker notes and slidesAlignment between information on slides and speaker notesAPA format (current edition) for citing and referencing sourcesCongruence with APA mechanics of style (abbreviations, capitalization, italics, numbers)No direct quotes are used within the assignmentFirst person is not used within the presentation slides or speaker notes | Graduate-level writing style needs improvement as evidenced by meeting the following criteria with 6 or more errors, total: Correct use of spelling, grammar, punctuation, sentence and paragraph structure within the speaker notesCorrect use of spelling and word usage on the slidesClarity, organization, and logical flow of ideas and information on speaker notes and slidesAlignment between information on slides and speaker notesAPA format (current edition) for citing and referencing sourcesCongruence with APA mechanics of style (abbreviations, capitalization, italics, numbers)No direct quotes are used within the assignmentFirst person is not used within the presentation slides or speaker notes | ||
| Graduate-level Presentation Style | 15 Points | 13 Points | 12 Points | 0 Points | |
| Distinguished graduate-level presentation style is evidenced by meeting all of the following criteria with 0-1 errors total: Slide design includes visually balanced textSlide design provides contrast of color between background and font usedSuccinct, key points are presented on the slidesNo lengthy narratives are included on the slidesFont size appropriate for audience viewing (sized 18 or larger)Use of graphics and/or images is professional and appropriate for the topic | Graduate-level presentation style exceeds expectations as evidenced by meeting the following criteria with 2-3 errors total: Slide design includes visually balanced textSlide design provides contrast of color between background and font usedSuccinct, key points are presented on the slidesNo lengthy narratives are included on the slidesFont size appropriate for audience viewing (sized 18 or larger)Use of graphics and/or images is professional and appropriate for the topic | Proficient graduate-level presentation style is evidenced by meeting the following criteria with 4 errors, total: Slide design includes visually balanced textSlide design provides contrast of color between background and font usedSuccinct, key points are presented on the slidesNo lengthy narratives are included on the slidesFont size appropriate for audience viewing (sized 18 or larger)Use of graphics and/or images is professional and appropriate for the topic | Graduate-level presentation style needs improvement as evidenced by meeting the following criteria with 5 or more errors, total: Slide design includes visually balanced textSlide design provides contrast of color between background and font usedSuccinct, key points are presented on the slidesNo lengthy narratives are included on the slidesFont size appropriate for audience viewing (sized 18 or larger)Use of graphics and/or images is professional and appropriate for the topic | ||
| Quality of Literature Support | 0 Points Deducted | 4 Points Deducted | |||
| A minimum of 4 peer-reviewed scholarly sources, current within 5 years, are integrated within the assignment. | The assignment fails to meet the requirement noted for quality of literature support. | ||||
| Assignment Length Expectations | 0 Points Deducted | 4 Points Deducted | |||
| The length of the assignment meets the criteria: Minimum of 10 slides in length; Maximum of 12 slides in length. (Not including title or reference slides) | The assignment fails to meet the requirement for length. | ||||
