The impact of nurse to patient ratios on patient safety and adverse outcomes

The impact of nurse to patient ratios on patient safety and adverse outcomes

THE TRIPLE AIM

Improving the patient experience of care and outcomes (including quality and satisfaction)

BUSINESS FRAMEWORK

Six sigma using the DMAIC methodology

SIX SIGMA DMAIC METHODOLOGY:

D= Define the system, the voice of the customer and their requirements, and the project goals
M= Measure key aspects of the current process and collect relevant data
A= Analyze the data to investigate and verify cause-and-effect relationships. Determine what the relationships are, and attempt to ensure that all factors have been considered. Seek out root cause of the defect under investigation.
I= Improve or optimize the current process based upon data analysis using techniques such as mistake proofing, and the creation of a new process.
C= Control the future state process to ensure that any deviations from the target are corrected before they result in defects with continuous monitor of the process.

INSTRUCTIONS

1. Select one of the three pillars of the IHI Triple Aim and identify a business case, cost analysis, or business plan framework applicable to their DNP actual/potential capstone project. Provide an overview of the element of the triple aim and framework with rationale (why and how it applies to the specific project). Utilizing a minimum of three research articles related to this particular framework, explain how this framework pertains to the development of your project proposal by integrating or using an example with your discussion.

• Select one of the pillars of the IHI Triple Aim
• Select a business framework
• Provide an overview of the triple aim pillar and framework
• 6-8 pages, double spaced, strict APA style

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2. Utilizing the triple aim pillar and business plan framework identified before develop a business plan/analysis for your identified project. This proposal should include: introduction with project description; overview of framework; rationale; evidence-based research; financial analysis pertinent to the framework. Integrate into the executive summary a discussion of how this particular project ‘fits’ in the current health care environment in terms of triple aim (i.e. access, quality, and/or cost).

• Incorporate elements of part one into final paper
• Develop a business plan, or analysis for your identified project
• Incorporate evidence that supports use of this framework
• Develop an executive summary
• 10-12 pages, double spaced, strict APA style