Please see the attachment for instructions

discuss a very brief description (one paragraph for the group session– do NOT include the actual 12-steps) to include the following: Official name of the program or group you observed. 

Assignment: Hypothesize the Processes to Manage Quality Outcomes

This week, you learned about the process to manage quality outcomes, how policies create the course of action and the limitations to that action, and you were introduced to the gold standard for assessing quality, the Donabedian Quality Framework of Structure, Process, and Outcomes.

To complete your assignment this week, you will prepare a Proposal Paper that contains the action plans (also known as the measures of performance) needed to determine if a healthcare organization is meeting each principle of quality health care as described by the World Health Organization (2018). The WHO describes quality health care as being effective, safe, people-centered, timely, equitable, coordinated, and efficient. For example, as the healthcare administrator, how (what action will you take) to know if the health care provided in your organization is effective. 

In your Proposal Paper, be sure to include an
introductory section that continues your discussion from the summary section in your Week 1 research paper where you discussed the development of the Donabedian Quality Framework and its use in healthcare quality management. Be sure to review any feedback provided by your professor on this summary section. 

The
body of your Proposal Paper will contain your in-depth discussion of each of the seven principles of quality health care and their contribution to patient outcomes. You will also include your rationale to support each of your action plans for the seven principles of quality health care.

Your paper will include a
summary section on how the organization's structure and the processes effects healthcare outcomes through the management of quality action plans.

In addition to your narrative, you will create a table that contains a synopsis of your action plans and rationale. Your table will be an
appendix to your Proposal Paper and the columns in the table will include the Principles of Quality Health Care, the Action Plans, and your Rational to support your action plans. Your synopsis may be presented using bullet points. Be sure to follow APA standards for the use of appendices.

5 pages, not including title page, reference page, or Appendix page

Include a minimum of 3 peer-reviewed resources.

RUBRIC FOR GRADING

 Subjective Documentation in Provider Note Template: Subjective narrative documentation in Provider Note Template is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS)ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe. =  Documentation is detailed and organized with all pertinent information noted in professional language….Documentation includes all pertinent documentation to include Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS). 

 Objective Documentation in Provider Notes – this is to be completed using the documentation template that is provided. Document in a systematic order starting from head-to-toe, include what you see, hear, and feel when doing your physical exam using medical terminology/jargon. Document all normal and abnormal exam findings. Do not use “WNL” or “normal”. You only need to examine the systems that are pertinent to the CC, HPI, and History. Diagnostic result – Include any pertinent labs, x-rays, or diagnostic test that would be appropriate to support the differential diagnoses mentioned. Differential Diagnoses (list a minimum of 3 differential diagnoses). Your primary or presumptive diagnosis should be at the top of the list (#1). =  Documentation detailed and organized with all abnormal and pertinent normal assessment information described in professional language….Each system assessed is clearly documented with measurable details of the exam. 

Use the PMHNP Clinical Skills Self-Assessment Form to complete the following:   

• Rate yourself according to your confidence level performing the skills identified on the Clinical Skills Self-Assessment Form.  
• Based on your ratings, summarize your strengths and opportunities for improvement.   
• Based on your self-assessment and theory of nursing practice, develop 4 measurable goals and objectives for this practicum experience. Include them on the designated area of the form.