NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Name

Capella university

NURS-FPX 9901 Nursing Doctoral Project 1

Prof. Name

Date

Quality/Performance Improvement (QI/PI)

Quality/Performance Improvement (QI/PI) refers to a structured approach that supports enhancements in processes, services, or outcomes across multiple industries. In the healthcare domain, this methodology is instrumental in raising the standard of patient care. The focus of this initiative is to implement staff education programs on nutrition and adopt telehealth modalities to enhance the management of Chronic Obstructive Pulmonary Disease (COPD). These targeted strategies aim to achieve measurable improvements in care quality and reduce complications for patients suffering from COPD. By embracing QI/PI practices, healthcare teams are empowered to drive change and improve health outcomes systematically (Agency for Healthcare Research and Quality [AHRQ], 2020).

Aspect	Description
Purpose	Improve COPD care using telehealth and nutritional education
Approach	QI/PI methodology to ensure structured and measurable improvements
Focus Areas	Staff training, nutrition management, telehealth interventions
Outcome Goals	Better lung function, reduced readmissions, higher care quality standards

Current Practice and Areas for Improvement

Currently, the management strategies for hospitalized COPD patients reveal multiple deficiencies that hinder optimal care delivery. These include a general lack of staff knowledge in nutritional therapy, delays in scheduling post-discharge follow-up, and limited use of technology to support patient care. Inadequate emergency response availability further contributes to prolonged wait times and exacerbation of symptoms. A root cause analysis underscored these systemic issues, while a gap analysis provided direction by identifying specific shortcomings in patient care processes. To bridge these gaps, the initiative proposes implementing nutrition-focused interventions and telehealth services. These efforts aim to streamline care, improve patient health outcomes, and reduce hospital readmission rates (Konstantinidis et al., 2022; Press et al., 2019; Wong et al., 2022).

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Identified Issues	Improvement Opportunities
Inadequate knowledge on nutrition	Staff education on COPD-specific dietary interventions
Delays in post-discharge follow-up	Introduction of telehealth follow-up systems
Poor emergency response	Development of rapid response protocols
Frequent hospital readmissions	Preventive care via nutrition and remote monitoring

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QI/PI Framework, Data Analysis, and Evaluation

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The Plan-Do-Study-Act (PDSA) cycle is the recommended framework guiding this performance improvement effort. This iterative model allows for systematic testing and modification of interventions to yield the best outcomes. Steps in the process include conducting literature reviews, designing intervention protocols, and integrating stakeholder feedback to fine-tune strategies (Burkes et al., 2018; Ko et al., 2019).

Data gathering will be accomplished using a combination of patient records, clinical evaluation tools, and satisfaction surveys. These data will be analyzed to compare pre- and post-intervention outcomes such as readmission rates and pulmonary function. Ongoing assessments will inform necessary adjustments throughout the implementation phase to maintain quality (Sculley et al., 2021; Konstantinidis et al., 2022).

The effectiveness of interventions will be measured using validated tools such as spirometry and the Chronic Respiratory Questionnaire (CRQ). Outcomes including improvements in lung capacity, patient satisfaction, and reductions in rehospitalization will be statistically analyzed. Evaluations will emphasize the impact of interventions on overall care delivery, operational efficiency, and patient engagement (Robertson et al., 2021).

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Element	Details
Framework	Plan-Do-Study-Act (PDSA)
Key Activities	Literature review, stakeholder input, protocol development
Data Collection Methods	Surveys, medical records, clinical tools (e.g., CRQ, spirometry)
Evaluation Criteria	Lung function, readmission rates, patient satisfaction, process changes
Analysis Approach	Comparative and statistical analysis of baseline vs post-intervention

References

Agency for Healthcare Research and Quality. (2020). Plan-Do-Study-Act (PDSA) directions and examples. https://www.ahrq.gov/health-literacy/improve/precautions/tool2b.html

Agency for Healthcare Research and Quality. (2020, January). Section 4: Ways to approach the quality improvement process (page 1 of 2). https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html

Backhouse, A., & Ogunlayi, F. (2020). Quality improvement into practice. BMJ, 368(1). https://doi.org/10.1136/bmj.m865

Burkes, R. M., Mkorombindo, T., Chaddha, U., Bhatt, A., El-Kersh, K., Cavallazzi, R., & Kubiak, N. (2018). Impact of quality improvement on care of Chronic Obstructive Pulmonary Disease Patients in an Internal Medicine Resident Clinic. Healthcare, 6(3), 88. https://doi.org/10.3390/healthcare6030088

Konstantinidis, A., Kyriakopoulos, C., Ntritsos, G., Giannakeas, N., Gourgoulianis, K. I., Kostikas, K., & Gogali, A. (2022). The role of digital tools in the timely diagnosis and prevention of acute exacerbations of COPD: A comprehensive review of the literature. Diagnostics, 12(2). https://doi.org/10.3390/diagnostics12020269

Press, V. G., Au, D. H., Bourbeau, J., Dransfield, M. T., Gershon, A. S., Krishnan, J. A., Mularski, R. A., Sciurba, F. C., Sullivan, J., & Feemster, L. C. (2019). Reducing Chronic Obstructive Pulmonary Disease hospital readmissions. Annals of the American Thoracic Society, 16(2), 161–170. https://doi.org/10.1513/annalsats.201811-755ws

NURS FPX 9901 Assessment 2 Quality Performance Improvement (QI/PI)

Robertson, N. M., Siddharthan, T., Pollard, S. L., Alupo, P., Flores-Flores, O., Rykiel, N. A., Romani, E. D., Ascencio-Días, I., Kirenga, B., Checkley, W., Hurst, J. R., Quaderi, S., & GECo Investigators. (2021). Development and validity assessment of a Chronic Obstructive Pulmonary Disease Knowledge Questionnaire in low- and middle-income countries. Annals of the American Thoracic Society, 18(8), 1298–1305. https://doi.org/10.1513/AnnalsATS.202007-884OC

Sculley, J. A., Musick, H., & Krishnan, J. A. (2021). Telehealth in Chronic Obstructive Pulmonary Disease: before, during, and after the Coronavirus Disease 2019 Pandemic. Current Opinion in Pulmonary Medicine, 28(2), 93–98. https://doi.org/10.1097/mcp.0000000000000851

Wong, A. W., Maltais, F., Canestrini, S., Dechman, G., Bourbeau, J., Hernandez, P., … & Stickland, M. K. (2022). Making the case for a Canadian network of rehabilitation services for individuals with chronic respiratory disease. Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, 6(1), 1–5. https://doi.org/10.1080/24745332.2021.1971872