ORGANIZATIONAL SYSTEMS AND HEALTHCARE TRANSFORMATION

NGM1 — NGM1: TASK 1: PRACTICE IMPROVEMENT
PLAN PROPOSAL
ORGANIZATIONAL SYSTEMS AND HEALTHCARE TRANSFORMATION — D221
PRFA — NGM1
COMPETENCIES
738.4.1 : Compare Healthcare Delivery Models
The learner compares healthcare delivery models to facilitate value-based care, shared decisionmaking, and equitable patient-centered care.
738.4.2 : Describe Continuous Improvement Strategies
The learner describes evidence-based continuous improvement strategies that improve patient
care.
738.4.3 : Compare Safety Standards
The learner compares current practice with patient safety standards to promote optimal patient
outcomes.
738.4.4 : Examine Systems Redesign
The learner examines systems design in a high-reliability organization.
INTRODUCTION
Patient safety is an integral part of value-based healthcare. Ensuring patient safety can lead to
faster recovery times, which, in turn, leads to lower costs of care. When combined, these factors
result in improved patient satisfaction. Ensuring patient safety requires professional nurses to be
proactive in identifying potential safety concerns and proposing evidence-based solutions to
mitigate those concerns across the healthcare continuum.
Your goal for this task is to clearly and concisely propose a recommendation that addresses an
identified patient safety issue within your practice setting, using convincing evidence to promote
the necessity for change.
REQUIREMENTS
TASK OVERVIEW SUBMISSIONS EVALUATION REPORT

Your submission must be your original work. No more than a combined total of 30% of the
submission and no more than a 10% match to any one individual source can be directly quoted or
closely paraphrased from sources, even if cited correctly. The originality report that is provided
when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed
criteria that will be used to evaluate your work. Each requirement below may be evaluated by
more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions
of the course.
Tasks may not be submitted as cloud links, such as links to Google Docs, Google Slides, OneDrive,
etc., unless specified in the task requirements. All other submissions must be file types that are
uploaded and submitted as attachments (e.g., .docx, .pdf, .ppt).
A. Discuss a healthcare safety concern using the SBAR (situation, background, assessment,
recommendation) format by doing the following:
1. Describe a healthcare-related situation prompting a patient safety concern (S).
2. Analyze background information about the concern by doing the following (B):
a. Describe the data that support or would support the need for change.
b. Explain how one or more national patient safety standards apply to this situation.
3. Discuss the impact of the safety concern on the patient(s), staff, and organization (A).
a. Explain how the safety concern affects value for the patient(s) and the organization.
4. Recommend an evidence-based practice change that addresses the safety concern (R).
a. Discuss how this recommendation aligns with the principles of a high reliability
organization.
b. Describe two potential barriers to the recommended practice change.
c. Identify two potential interventions to minimize the barriers from part A4b to the
recommended practice change.
d. Discuss the significance of shared decision-making in implementing this
recommendation.
e. Describe an outcome measure that could be used to evaluate the results of the
recommendation.
f. Discuss how the care delivery model in this organization would be impacted by this
change.
B. Acknowledge sources, using APA-formatted in-text citations and references, for content that is
quoted, paraphrased, or summarized.
C. Demonstrate professional communication in the content and presentation of your submission.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! – _ . * ‘ ( )
File size limit: 200 MB

File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma,
flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
RUBRIC
A1:SAFETY CONCERN
A2A:DATA
A2B:NATIONAL SAFETY STANDARD(S)
NOT EVIDENT
The submission does not describe a healthcare-related
situation.
APPROACHING
COMPETENCE
The submission describes a
healthcare-related situation,
but the situation would not
be regarded as a plausible
patient safety concern given
current healthcare practices.
COMPETENT
The submission describes a
healthcare-related situation
that could be regarded as a
plausible patient safety concern given current healthcare
practices.
NOT EVIDENT
The submission does not describe any data.
APPROACHING
COMPETENCE
The submission describes
data, but the description is
general in nature, or the described data does not
demonstrate the need for
change to address the situation in part A1.
COMPETENT
The submission describes
specific data that demonstrates the need for change
to address the situation in
part A1.
NOT EVIDENT
An explanation referencing
at least 1 national patient
safety standard is not
provided.
APPROACHING
COMPETENCE
The explanation references
at least 1 national patient
safety standard but does not
correctly address how each
referenced standard applies
to the situation described in
part A1.
COMPETENT
The explanation references at
least 1 national patient safety
standard and correctly addresses how each referenced
standard applies to the situation described in part A1.

A3:IMPACT
A3A:VALUE
A4:EVIDENCE-BASED PRACTICE CHANGE
A4A:HIGH RELIABILITY ORGANIZATION
NOT EVIDENT
The submission does not discuss the impact of the safety
concern from part A1.
APPROACHING
COMPETENCE
The submission does not logically discuss the impact of
the safety concern described
in part A1 as it specifically
relates to the patient(s),
staff, or organization.
COMPETENT
The submission logically discusses the impact of the safety concern described in part
A1 as it specifically relates to
the patient(s), staff, and
organization.
NOT EVIDENT
An explanation of how the
safety concern from part A1
affects value for the patient(s) and the organization
is not provided.
APPROACHING
COMPETENCE
The submission explains how
the safety concern from part
A1 affects value for the patient(s) and the organization,
but the explanation is illogical or contains inaccuracies.
COMPETENT
The submission logically and
accurately explains how the
safety concern from part A1
affects value for the patient(s) and the organization.
NOT EVIDENT
The submission does not
provide a recommendation
for a practice change.
APPROACHING
COMPETENCE
The submission provides a
recommendation for a practice change, but the recommendation is not evidencebased. Or it is irrelevant to
the safety concern described
in part A1 or would not logically address the concern.
COMPETENT
The submission provides a
recommendation for an evidence-based practice change
that is relevant to the safety
concern described in part A1
and would logically address
the concern.
NOT EVIDENT APPROACHING
COMPETENCE
COMPETENT

A4B:POTENTIAL BARRIERS
A4C:POTENTIAL INTERVENTIONS
A4D:SHARED DECISION-MAKING
The submission does not discuss how the recommendation in part A4 aligns with
the principles of any
organization.
The submission discusses
how the recommendation in
part A4 aligns with the principles of an organization, but
the alignment discussed is
not specific to a high reliability organization.
The submission accurately
discusses how the recommendation in part A4 aligns
with the principles of a high
reliability organization.
NOT EVIDENT
The submission does not describe any potential barriers
to the recommended practice change.
APPROACHING
COMPETENCE
The submission describes
only 1 potential barrier to
the recommended practice
change. Or the description is
irrelevant to the safety concern in part A1.
COMPETENT
The submission describes 2
potential barriers to the recommended practice change
that are relevant to the safety
concern in part A1.
NOT EVIDENT
The submission does not
identify any potential interventions to minimize the
barriers from part A4b to
change.
APPROACHING
COMPETENCE
The submission identifies
only 1 potential intervention
that could minimize the barriers from part A4b to
change. Or 1 or both interventions are not relevant to
the recommended practice
change.
COMPETENT
The submission identifies 2
potential interventions that
could minimize the barriers
from part A4b to the recommended practice change.
NOT EVIDENT
The submission does not discuss the significance of
shared decision-making in
implementing any
APPROACHING
COMPETENCE
The submission does not logically discuss the significance
of shared decision-making in
COMPETENT
The submission logically discusses the significance of
shared decision-making, and
the discussion specifically re
A4E:OUTCOME MEASURE
A4F:CARE DELIVERY MODEL
B:APA SOURCES
recommendation. implementing the proposed
recommendation in part A4.
Or the discussion is general
in nature or does not specifically relate to the implementation of the proposed recommendation in part A4.
lates to the implementation
of the proposed recommendation in part A4.
NOT EVIDENT
The submission does not describe any outcome measures that could be used to
evaluate the results of any
recommendation.
APPROACHING
COMPETENCE
The submission describes an
outcome measure, but it
could not be used to evaluate the results of the proposed recommendation in
part A4, or the outcome
measure is irrelevant to the
proposed recommendation
in part A4.
COMPETENT
The submission describes a
relevant outcome measure
that could be used to evaluate the results of the proposed recommendation in
part A4.
NOT EVIDENT
The submission does not discuss how the organization
would be impacted by any
change.
APPROACHING
COMPETENCE
The submission discusses
the care delivery model that
exists in the organization but
does not include a relevant
impact of the change recommended in A4.
COMPETENT
The submission discusses
how the care delivery model
that exists in the organization
could have a relevant impact
on the change recommended
in A4.
NOT EVIDENT
The submission does not include in-text citations and
references according to APA
APPROACHING
COMPETENCE
The submission includes intext citations and references
COMPETENT
The submission includes intext citations and references
for content that is quoted,

C:PROFESSIONAL COMMUNICATION
style for content that is
quoted, paraphrased, or
summarized.
for content that is quoted,
paraphrased, or summarized
but does not demonstrate a
consistent application of
APA style.
paraphrased, or summarized
and demonstrates a consistent application of APA style.
NOT EVIDENT
Content is unstructured, is
disjointed, or contains pervasive errors in mechanics,
usage, or grammar. Vocabulary or tone is unprofessional
or distracts from the topic.
APPROACHING
COMPETENCE
Content is poorly organized,
is difficult to follow, or contains errors in mechanics,
usage, or grammar that
cause confusion. Terminology is misused or ineffective.
COMPETENT
Content reflects attention to
detail, is organized, and focuses on the main ideas as
prescribed in the task or chosen by the candidate. Terminology is pertinent, is used
correctly, and effectively conveys the intended meaning.
Mechanics, usage, and grammar promote accurate interpretation and understanding.