Assignment
Purpose
The purpose of this assignment is to critically evaluate a practice problem idea you identified. This assignment builds on the Week 4 assignment. Information used in the Week 4 assignment may be used as a basis for this assignment. The goal is to develop a deeper understanding of the identified practice problem idea, using two continuous quality improvement tools, specifically, a Failure Mode and Effects Analysis (FMEA) and an Ishikawa (fishbone) cause and effect diagram to analyze, improve, and mitigate related risks. This assignment will allow you to apply competencies through sequential development of workflow steps in relation to an identified practice problem idea and promotion of presentation skills. Assignment content supports professional formation, communication, and dissemination skills relevant to the DNP-prepared nurse.
Instructions
This assignment has four components:
- Identified practice problem idea in PICOT format
- Failure Mode and Effects Analysis
- Ishikawa (Fishbone) cause and effect diagram
- Professional PowerPoint with speaker notes at the bottom of each slide to disseminate information
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
- Consider the identified practice problem idea used in the Week 4 translation science project including PICOT, background, and significance. Incorporate course faculty feedback from the Week 4 assignment.
- Review the examples of the failure mode and effects analysis and fishbone diagram in the Week 4 Explore section of the course called Evidence-Based Practice: Improving Outcomes.
- Download the required documents inserted in the guidelines:
- Link (PPT): PowerPoint Template (Links to an external site.)
- Link (Word doc): Ishikawa Fishbone Template A (Links to an external site.) (Word 2016 or higher)
- Link (Word doc): Ishikawa Fishbone Template B (Links to an external site.) (older version of Word)
- Complete the failure mode and effects analysis and then the Ishikawa fishbone diagram. The Ishikawa fishbone diagram requires Word 2016 to download. If you do not have the Word 2016 version, you may update your current version of Word (click on the following link for instructions: Office 365 (Links to an external site.)) or use the alternative version provided or create your own fishbone diagram as long as you are addressing the five areas:
- People
- Environment
- Materials
- Methods
- Equipment
- Create the PowerPoint Presentation.
The assignment should include the following components. Use the templates provided for the assignment.
- Introduction (1 slide)
- Title of Practice Problem Analysis Presentation
- Student Name
- Assignment Title
- Course Faculty Name
- Practice Problem Identification (1-3 slides)
- State identified practice problem as a PICOT question in question format.
- Identify all PICOT components.
- Describe the background and significance of the identified practice problem idea (cited).
- Develop inclusion criteria for the population of interest.
- Develop exclusion criteria for the population of interest.
- Failure Mode and Effects Analysis (1-2 slides)
- Identify three steps in the identified practice problem idea process with potential breakdown or process gaps.
- Identify at least one potential error (failure mode) for each of the three process steps.
- Identify at least one possible cause of failure (failure cause) for each of the three process steps.
- Identify at least one adverse consequence (failure effect) for each of the three process steps.
- Using a scale 1-10, rate likelihood of occurrence of failure for each process step.
- Using a scale 1-10, rate likelihood of detection of failure for each process step.
- Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step.
- Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm).
- Summarize FMEA analysis.
Note: The following article has scoring guidelines for FMEA ratings which may be helpful.
Warnick, R. E., Lusk, A. R., Thaman, J. J., Levick, E. H., & Seitz, A. D. (2020). Failure mode and effects analysis (FMEA) to enhance safety and efficiency of Gamma Knife Radiosurgery. (Links to an external site.) Journal of Radiosurgery and SBRT, 7, 115-125.
- Ishikawa (Fishbone) Cause and Effect Diagram (1-2 slides)
- Identify people involved in the identified practice problem idea.
- Identify the environment in which the identified practice problem idea occurs.
- Identify the materials used.
- Identify the methods used.
- Identify the equipment used.
- Summarize cause and effect analysis.
- Evidence-Based Intervention (1 -2 slides)
- Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT).
- Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses.
- Discuss feasibility of the evidence-based intervention.
- Conclusion (1 slide)
- Summarize the purpose and findings of the analysis.
- Provide and justify the main conclusions.
- Draw inferences from the quality improvement analysis.
- References (1 slide)
- Include in-text citations used in the presentation.
- Provide complete matching references in correct APA format.
- Include minimum of four scholarly sources.
Writing Requirements
- Length: Maximum of 14 slides
- Standard English usage and mechanics
- APA format guidelines for in-text citation and references
- Clear, succinct, and readable slides
- Elaboration on the slide questions
- Speaker notes section with legible comprehensive notes for each slide
Graduate Re-Purpose Policy
The late assignment policy and the reuse repurpose policy (located in the student handbook) apply to this assignment.
Course Outcomes
This discussion enables the student to meet the following course outcomes:
- Assess the impact of informatics and information technology on organizational systems, change, and improvement. (PO 6)
- Design programs that monitor and evaluate outcomes of care, care systems, and quality improvement. (PO 7)
- Appraise consumer health information sources for accuracy, timeliness, and appropriateness. (PO 7)
- Resolve ethical and legal issues related to the use of information, communication networks, and information and patient care technology. (PO 6)
Rubric
W6 Assignment Grading Rubric
| W6 Assignment Grading Rubric | ||
| Criteria | Ratings | Pts |
| This criterion is linked to a Learning OutcomeIntroduction (1 slide) Requirements: a. Title of Practice Problem Analysis Presentation b. Student Name c. Assignment Title d. Course Faculty Name | 10 pts Includes all requirements and provides an excellent introduction. 9 pts Includes fewer than all requirements and/or provides a very good introduction. 8 pts Includes fewer than all requirements and/or provides a basic introduction. 0 pts Includes fewer than all requirements and/or provides a poor introduction. | 10 pts |
| This criterion is linked to a Learning OutcomePractice Problem Identification (1-3 slides) Requirements: a. State identified practice problem as a PICOT question in question format. b. Identify all PICOT components. c. Describe the background and significance of the identified practice problem (cited). d. Develop inclusion criteria for the population of interest. e. Develop exclusion criteria for the population of interest. | 50 pts Includes all requirements and provides an excellent description of the practice problem and question. 45 pts Includes fewer than all requirements and/or provides a very good description of the practice problem and question. 40 pts Includes fewer than all requirements and/or provides a basic description of the practice problem and question. 0 pts Includes fewer than all requirements and/or provides a poor description of the practice problem and question. | 50 pts |
| This criterion is linked to a Learning OutcomeFailure Mode and Effects Analysis (1-2 slides) Requirements: a. Identify three steps in the identified practice problem idea process with potential breakdown or process gaps. (1-2 slides) b. Identify at least one potential error (failure mode) for each of the three process steps. c. Identify at least one possible cause of failure (failure cause) for each of the three process steps. d. Identify at least one adverse consequence (failure effect) for each of the three process steps. e. Using a scale 1-10, rate likelihood of occurrence of failure for each process step. f. Using a scale 1-10, rate likelihood of detection of failure for each process step. g. Using a scale 1-10, rate likelihood of severity of harm if failure occurs for each process step. h. Calculate the Risk Profile Number (Multiply likelihood of occurrence X likelihood of detection X likelihood of severity or harm). i. Summarize FMEA analysis. | 70 pts Includes all requirements and provides an excellent failure mode and effects analysis. 63 pts Includes fewer than all requirements and/or provides a very good failure mode and effects analysis. 56 pts Includes fewer than all requirements and/or provides a basic failure mode and effects analysis. 0 pts Includes fewer than all requirements and/or provides a poor failure mode and effects analysis. | 70 pts |
| This criterion is linked to a Learning OutcomeIshikawa (Fishbone) Cause and Effect Diagram (1-2 slides) Requirements: a. Identify people involved in the identified practice problem. b. Identify the environment in which the identified practice problem occurs. c. Identify the materials used. d. Identify the methods used. e. Identify the equipment used. f. Summarize cause and effect analysis. | 70 pts Includes all requirements and provides an excellent fishbone cause and effect diagram. 63 pts Includes fewer than all requirements and/or provides a very good fishbone cause and effect diagram. 56 pts Includes fewer than all requirements and/or provides a basic fishbone cause and effect diagram. 0 pts Includes fewer than all requirements and/or provides a poor fishbone cause and effect diagram. | 70 pts |
| This criterion is linked to a Learning OutcomeEvidence-Based Intervention (1 -2 slides) Requirements: a. Identify the evidence-based intervention for your identified practice problem idea (listed in PICOT). b. Identify barriers to overcome based upon what you learned from the FMEA and Fishbone Analyses. c. Discuss feasibility of the intervention. | 50 pts Includes all requirements and provides an excellent evidence-based intervention discussion. 45 pts Includes fewer than all requirements and/or provides a very good evidence-based intervention discussion. 40 pts Includes fewer than all requirements and/or provides a basic evidence-based intervention discussion. 0 pts Includes fewer than all requirements and/or provides a poor evidence-based intervention discussion. | 50 pts |
| This criterion is linked to a Learning OutcomeConclusion (1 slide) Requirements: a. Summarize the purpose and findings of the analysis. b. Provide and justify the main conclusions. c. Draw inferences from the quality improvement analysis. | 20 pts Includes all the requirements and provides an excellent conclusion. 18 pts Includes fewer than all requirements and provides a very good conclusion. 16 pts Includes fewer than all requirements and/or provides a basic conclusion. 0 pts Includes fewer than all requirements and/or provides a poor conclusion. | 20 pts |
| This criterion is linked to a Learning OutcomeReferences (1 slide) Requirements: a. Include in-text citations used in the presentation. b. Provide complete matching references in correct APA format. c. Include minimum of four scholarly sources. | 10 pts Includes all requirements and provides excellent references. 9 pts Includes fewer than all requirements and/or provides very good references. 8 pts Includes fewer than all requirements and/or provides basic references. 0 pts Includes fewer than all requirements and/or provides poor references. | 10 pts |
| This criterion is linked to a Learning OutcomePresentation and Writing Requirements: a. Length: Maximum of 14 slides b. Standard English usage and mechanics c. APA format guidelines for in-text citation and references d. Clear, succinct, and readable slides e. Elaboration on the slide questions f. Speaker notes section with legible comprehensive notes for each slide | 20 pts Includes all requirements and provides an excellent presentation and writing. 18 pts Includes fewer than all requirements and/or provides a very good presentation and writing. 16 pts Includes fewer than all requirements and/or provides basic presentation and writing. 0 pts Includes fewer than all requirements and/or provides poor presentation and writing. | 20 pts |
| Total Points: 300 |
Lesson 1
Health Information Privacy and Security
Protected Health Information Insurance Portability and Accountability Act Compliance Risks
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 was enacted into legislation enforcing federal security and privacy standards. The act included the protection and confidential handling of protected health information. Since its enactment, healthcare providers have been modifying practices to ensure compliance. With the rapid change in information technology and evolving policies, compliance with these standards can be challenging. In fact, the U.S. Department of Health and Human Services (2019) reported that the upward trend in the number of violations received by the Office of Civil Rights remains alarming. The DNP-prepared nurse and other healthcare leaders must champion best practices to ensure compliance, which requires supportive policies, processes, and tools.
Learn More!
View the following short videos to discover the 10 most common HIPAA violations and actions required for managing protected health information within federal requirements:
- Video 1: Improperly Storing Health Information (Links to an external site.) (1:01)
- Video 2: Releasing Information to an Undesignated Party (Links to an external site.) (0.55)
- Video 3: Releasing Unauthorized Health Information (Links to an external site.) (1.00)
- Video 4: Failing to Include the Right to Revoke Clause (Links to an external site.) (0:54)
- Video 5: Releasing the Wrong Patient’s Health Information (Links to an external site.) (0:51)
- Video 6: Noncompliance with Patient Signature Requirements (Links to an external site.) (1:02)
- Video 7: Failing to Release Information to Patients (Links to an external site.) (1:.07)
- Video 8: Improperly Disposing of Patient Records (Links to an external site.) (0:52)
- Video 9: Violating the Authorization Expiration Date (Links to an external site.) (0:54)
- Video 10: Granting Unauthorized Access to Medical Records (Links to an external site.) (1:30)
10 Common HIPAA Violations Video Series Transcripts
HITECH: Ensuring Privacy in Electronic Health Information Sharing
The Health Information Technology for Economic and Clinical Health (HITECH) Act expands the scope of privacy and security rules enacted by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and increases the potential for legal liability for noncompliance. HITECH specified that, beginning in 2011, monetary incentives were to be dispersed to healthcare providers for demonstrating meaningful use of electronic health records. Disbursements were disseminated through 2015, after which time financial penalties were enforced for failure to demonstrate compliance. Of recent, such penalties have been enforced with increasing frequency (McBride & Tietze, 2019). Risk assessment processes are critical for healthcare providers to appraise personal health information practices for security risks.
View the following video to learn practices to assess personal health information as part of a risk management process.
Security 101: Security Risk Analysis (8:06)
10 Common HIPAA Violations Video Series Transcripts
Social Media Privacy and Ethical Guidelines
Although social media use in healthcare is commonplace, nurses and nurse leaders must use social media responsibly. Inappropriate social media use may result in licensure censorship and legal consequences.
Watch the following video for more information on privacy breaches:
Privacy Breach (2:02)
The National Council of State Boards of Nursing (NCSBN) developed guidelines to support nurses in using social media ethically and appropriately.
View the following video to explore the NCSBN guidelines for the responsible use of social media by nurses:
- Link (video): Social Media Guidelines for Nurses (Links to an external site.) (5:45)
Social Media Guidelines for Nurses Video Transcript
Privacy, Confidentiality, and Security of Health Information: The Patient Experience
Although health information technology improves the efficiency and effectiveness of healthcare through the sharing of patient information, this capacity may raise patients’ concern about the privacy and security of their health records. The healthcare team relies on technology, but adherence to policies to prevent data theft is vital. Patients trust their providers, but this trust could be jeopardized with personal health information loss. All parties must be able to trust the security of the systems used to support healthcare (McBride & Tietze, 2019).
Another aspect complicating the patient experience is the internet connectivity around us. We are connected to the world through devices, software, applications, and wearable technology. This system of interrelated devices connected to the internet is known as the Internet of Things (IoT) (Alvarez et al., 2021). In healthcare, it is known as the Medical Internet of Things comprised of the patient, physician, machines, and the care environment. This Internet of Things generates massive volumes of data known as Big Data. Even though access to this information may be improving communication, interprofessional collaboration, decision-making, and patient outcomes, security risks exist. The primary risks are confidentiality, data integrity, and availability to the authorized user (Alvarez et al., 2021). As you learned last week, the shift to value-based care is transforming our healthcare environment and the Medical Internet of Things is supporting the change. As the DNP-prepared nurse, you may be involved in decisions related to the Medical Internet of Things and patient information security risks should be considered.
View the following video to explore the Medical Internet of Things:
- Link (video): IoT Healthcare| Value-Based Care and the Medical Internet of Things (Links to an external site.) (2:03)
IoT Healthcare Video Transcript
View the following resource to consider how concerns about cybersecuity impact the patient experience:
- Link (webpage): Cybersecurity in Healthcare (Links to an external site.)
References
Alvarez, Y., Leguizamon-Paez, M., & Londono, T. (2021). Risks and security solutions existing in the internet of things (IoT) in relation to big data. Telematics Engineering, 23(1), 1-13. https://doi.org/10.25100/iyc.23:1.9484
Department of Health and Human Services. (2019). Health information privacy: Numbers at a glance. https://www.hhs.gov/hipaa/for-professionals/compliance-enforcement/data/numbers-glance/index.html
McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). Springer Publishing Company.
