DIRECTIONS:Draft a written proposal and implementation guidelines for an organizational policy that you believe would help lead to an improvement in quality and performance associated with the benchmark metric for which you advocated action in Assessment 1. (MERCY MEDICAL CENTER)

In advocating for institutional policy changes related to local, state, or federal health care laws or policies, health leaders must be able to develop and present clear and well-written policy and practice guidelines change proposals that will enable a team, unit, or the organization as a whole to resolve relevant performance issues and bring about improvements in the quality and safety of health care. This assessment offers you an opportunity to take the lead in proposing such changes.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. 

Consider the underperforming metric you evaluated in your Dashboard Benchmark Evaluation in Assessment 1(MERCY MEDICAL CENTER) as having the potential to greatly improve the overall quality or performance of a team or the whole organization.

What ethical, evidence-based strategies would you recommend to resolve the performance issue related to the underperforming metric you evaluated?

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Analyze relevant health care laws and regulations and their applications and effects on processes within a health care team or organization.
    • Propose a succinct policy and guidelines to enable a team, unit, or the organization as a whole to implement recommended strategies to resolve the performance issue related to the relevant local, state, or federal health care policy or law.
  • Competency 3: Lead the development and implementation of ethical and culturally sensitive policies that improve health outcomes for individuals, organizations, and populations.
    • Recommend ethical, evidence-based strategies to resolve a performance issue related to health care policy or law.
  • Competency 4: Evaluate relevant indicators of performance, such as benchmarks, research, and best practices, for health care policies and law for patients, organizations, and populations.
    • Explain the need for creating an organizational policy or practice to address a shortfall in meeting a prescribed metric benchmark.
  • Competency 5: Develop strategies to work collaboratively with policy makers, stakeholders, and colleagues to address environmental (governmental and regulatory) forces.
    • Analyze the potential effects of environmental factors on recommended strategies.
    • Identify colleagues, individual stakeholders, or stakeholder groups who should be involved in further development and implementation of proposed policy, guidelines, and recommended strategies.
  • Competency 6: Apply various methods of communicating with policy makers, stakeholders, colleagues, and patients to ensure that communication in a given situation is professional, clear, efficient, and effective.
    • Communicate a proposed policy, guidelines, and recommended strategies in a professional and persuasive manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling.


Development of Evidence-Based Strategies and Policies  

  • Brown, L. J., & McIntyre, E. L. (2014). The contribution of primary health care research, evaluation and development-supported research to primary health care policy and practice. Australian Journal of Primary Health20(1), 47–55.

This article explores and compares two policies aiming to improve health and social care in Sweden and to test a new conceptual model for evidence-informed policy formulation and implementation.

  • Strehlenert, H., Richter-Sundberg, L., Nystrom, M. E., & Hasson, H. (2015). Evidence-informed policy formulation and implementation: A comparative case study of two national policies for improving health and social care in Sweden. Implementation Science10, 1–11.

This article provides suggestions on how physicians may participate in evidence-based policy development.

  • Rawlins, M. D. (2014). Engaging with health-care policy. The Lancet383, S7–8.

This organization works with stakeholders to develop evidence-based measures and guidelines for quality improvement.

  • National Quality Forum. (2016). Retrieved from http://www.qualityforum.org

This model is useful for incorporating research evidence into health care policies and practices.

  • National Collaborating Centre for Methods and Tools. (2011). Stetler model of evidence-based practice. Retrieved from http://www.nccmt.ca/resources/search/83

Organizational Policies and Implementation Strategies

  • Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

This article compares single- to multi-faceted strategies for evidence-based health care policy implementation, and reveals that this is a controversial topic in the health care industry.

  • Harvey, G., & Kitson, A. (2015). Translating evidence into healthcare policy and practice: Single versus multi-faceted implementation strategies – is there a simple answer to a complex question? Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4357977/

This study provides details on the implementation of system-wide tobacco control policies.

  • Gordon, L., Modayil, M. V., Pavlik, J., & Morris, C. D. (2015). Collaboration with behavioral health care facilities to implement systemwide tobacco control policies—California, 2012. Preventing Chronic Disease12, E13.

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