NUR 690 VA Healthcare Center Projects

In the Phoenix VA Healthcare System, hemodialysis nurses enter patients’ vital signs on dialysis as free text in the medical record. This process causes the data to be missing from the vitals tracking system. The absence of vital signs in the tracking system causes incomplete vital signs and makes it impossible to track and trend the vital signs. An audit of 6 records showed an average of 12 vital signs per dialysis session was not captured correctly. Ideally, all records would be captured by the vital signs system. Missing data in the documentation and inconsistent capture of documentation can lead to discrepancies, errors in patient care, and failure to recognize critical trends in patient vital signs, inhibiting the highest quality of care.

The success criteria reviewed during meetings consist of project completion timeline, functional requirements, quality target controls and project deliverables, and keeping stakeholders up to date with any nuances or unforeseen events that could extend the project completion date. NUR 690 VA Healthcare Center Projects

The expected outcomes in this practicum project are based on changes in behavior and measurable data. Expected outcomes include: Phoenix VA Healthcare System will shift to structured data entry in the hemodialysis documentation template for nurses with a discrete field to record vital signs. End users will use the discrete fields for vital signs entry. All the entries in that field are captured correctly by the vital signs tracking system and can track and trend vitals signs recorded in the hemodialysis unit. Also, end users continue to use it after the completion of project.

State the scope of the project

Will Just focus on changing free text vital signs entry in hemodialysis template to structured discrete field to record vital signs.

There are more changes needed to the to the template but that will be considered once this project for vital signs are done. So, everything else is “out of scope” for this project

The scope of the project is what is to be accomplished. When the requirements are met within the limitations it can be called “in scope”. But when things go beyond expectations it is called “out of scope” of the project. In other words, we can say that “in scope” is what we know or what we expect, and “out of scope” is what is unseen or thing that must be added or changed on the way to complete the project. One task can affect the timing of another task. It can also affect the planning and goal pursuit (Goswami & Urminsky, 2020). This can cause a snowball effect that pushes the project out of budget and over time

Goswami, I., & Urminsky, O. (2020). More time, more work: How time limits bias estimates of task scope and project duration. Judgment and Decision Making, 15(6), 994.

High level Deliverables

Charting correctly

Users using it

Users using it even after project is completed

Vitals captured correctly by vitals tracking system in CPRS (Computerized patient record system)

Completion Criteria

Complete on schedule

Approved by Medical Records Committee

Users using it.

Success Criteria

I think it is a combination of High-Level Deliverables and Completion criteria

Course Code	Class Code	Assignment Title	Total Points
NUR-690	NUR-690-O500	Establish the Project Scope	45.0
Criteria	Percentage	1: Unsatisfactory (0.00%)	2: Less Than Satisfactory (80.00%)	3: Satisfactory (88.00%)	4: Good (92.00%)	5: Excellent (100.00%)	Comments	Points Earned
Content	70.0%
Project Scope	20.0%	An explanation of project scope is missing.	A vague explanation as to what is within and outside of scope is provided. NUR 690 VA Healthcare Center Projects	An explanation as to what is within and outside of scope is provided.	A detailed explanation as to what is within and outside of scope is provided.	A thorough and clear explanation as to what is within and outside of scope is provided.
Deliverables	10.0%	A list of high-level deliverables is missing.	An incomplete list of high-level deliverables is provided.	A list of high-level deliverables is provided.	A detailed list of high-level deliverables is provided.	A thorough and exhaustive list of high-level deliverables is provided.
Completion Criteria	20.0%	Completion criteria are not provided.	Completion criteria are briefly discussed and missing key information.	Completion criteria are discussed.	A discussion of completion criteria is detailed.	A thorough and clear discussion of completion criteria is provided.
Success Criteria	20.0%	Success criteria are not provided.	Success criteria are briefly discussed and missing key information.	Success criteria are provided.	Detailed success criteria are provided.	A thorough and clear discussion of success criteria is provided.
Organization and Effectiveness	20.0%
Thesis Development and Purpose	7.0%	Paper lacks any discernible overall purpose or organizing claim.	Thesis is insufficiently developed or vague. Purpose is not clear.	Thesis is apparent and appropriate to purpose.	Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.	Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction	8.0%	Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.	Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.	Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.	Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.	Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%	Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. NUR 690 VA Healthcare Center Projects	Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.	Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.	Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.	Writer is clearly in command of standard, written, academic English.
Format	10.0%
Paper Format (Use of appropriate style for the major and assignment)	5.0%	Template is not used appropriately or documentation format is rarely followed correctly.	Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.	Template is used, and formatting is correct, although some minor errors may be present.	Template is fully used; There are virtually no errors in formatting style.	All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	5.0%	Sources are not documented.	Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.	Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.	Sources are documented, as appropriate to assignment and style, and format is mostly correct.	Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Total Weightage	100%

“In scope” and “out of scope” for the Project

Introduction

The process of decision-making in the health setting is expected to be carried out with the use of information. The challenge is that there has been a deterioration in the process of implementation of information hence leading to the challenges in the effective management of information. The information that is shared in the healthcare organization is supposed to be in line with the needs of the patients. Thus, there are changes in the health setting to ensure that an effective standard of health is put into consideration. This paper presents the in scope and what is out of scope for the project of installation and use of clinical systems or alerts in the healthcare organization.

Scope of the project

The project will mainly focus on the advancement of the use of information technology. The kind of technology that is expected to be used in the implementation of better health is to ensure that there is the use of clinical alerts and systems to ensure that better health standards are attained with the analysis of that information. This is an important step in that as a result of the implementation of better systems, the healthcare providers will be able to handle the challenges of junk data.

Abbott et al. (2018) allude that as a result of the implementation of an effective process of change one is supposed to have an understanding of the process of change. This is an important step as a result of the advancement of the quality of health and as a result of the process of care, there will be a need for ensuring that one can eliminate any risks of unreliable health standards. There will be a need for ensuring that one can eliminate any risks of unreliable health qualities and that one is supposed to be able to handle the challenges of unreliable quality health.

The other thing that is taken into consideration is to ensure that there will be an effective process of allowing the members of the health sector to play a role in the implementation of better measures of change. The project will therefore help in the determination of the preferred direction of health and allowing for the improvement of the standard of health for patient needs.

The process of decision-making is supposed to be handled by having a clear setup of the process of change to be attained. This includes the use of software to handle the analysis and decision-making on the use of information. The understanding of the issues that are faced in the health setting is supposed to be in line with the kind of care that is necessary and that could allow for the improvement of the use of information in the health setting.

What is out of scope for the project?

One thing that will be out of scope in the project is the focus on the discussion of the issue of the financial implication that could be faced in the implementation of a better health standard. The issue of financial challenges that are faced in the day-to-day operation of the health setting should not influence the quality of health of patients. The financial operations are expected to be carried out by the leaders and the main focus of the project will be on the advantages of making use of clinical alerts and use of effective decision making on the quality of information that is being shared. NUR 690 VA Healthcare Center Projects

List high-level deliverables

The deliverables that are expected to be implemented in this case is that there will be a need for ensuring that one can handle the various issues of patient care. The challenges that are expected results will include the improvement in the efficiency of the healthcare providers. Lyman, Cowan, and Hoyt (2018) depict that the efficiency of the healthcare providers is an important factor that allows for an improvement in the satisfaction of patients.

The process as well helps in the advancement of the understanding of the preferred health standards for patient needs. The efforts that are taken into consideration in handling the issue of junk data in the health setting will be attained by having an understanding of the preferred needs of patients. The outcome of the implementation of the new intervention is that there will be an improvement in the quality of health of patients and patient satisfaction will be attained. The other deliverable is that there will be an enhancement in the process of delivery of care in that safe and holistic care will be an assurance (Rushton & Edvardsson, 2020).

The completion criteria

The completion of the project will be attained as a result of the advancement of the standard of care. The first step will be an implementation of better health services the effectiveness in the process of care is supposed to be handled by having an understanding of the steps that are taken into consideration in the process of care. The ease in the process of care is supposed to be handled by ensuring that one can eliminate the issues of conflict. This includes the training of staff on the use of information technology or attending to the clinical alerts and ensuring that all the members of staff are well informed of the preferred direction of change.

Success criteria

The success that will be attained in the project will be seen of there will be an improvement in the standard of health of patients this implies that as a result of the advancement of the health services of patients one will be able to have an improvement in the patient safety. The safety standards of the patient are supposed to be handled by a clear picture set up for the advancement of the quality of care. There is an expectation as well that there will be an improvement in the health services of improvement.

There will be a need for safety for patients to be expected in the process of decision-making. The ease in the process of health services allows for the implementation of health services for patients. The effectiveness in the process of health delivery allows for the satisfaction of patients. The criteria taken into consideration will be carried for handling the issues of better services for patients. The expectation is that one is supposed to be able to eliminate any risks of patient care and ensure that one can improve the quality of care for patient needs. NUR 690 VA Healthcare Center Projects

References

Abbott, K. M., Heid, A. R., Kleban, M., Rovine, M. J., & Van Haitsma, K. (2018). The change in nursing home residents’ preferences over time. Journal of the American Medical Directors Association, 19(12), 1092-1098.

Lyman, B., Cowan, L. A., & Hoyt, H. C. (2018). Organizational learning in a college of nursing: A learning history. Nurse education today, 61, 134-139.

Rushton, C., & Edvardsson, D. (2020). Nursing, masks, COVID‐19 and change. Nursing Philosophy.